Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Sibouh Sam Keusseyan

Individual provider Personal Care Attendant · NPI 1104632876

Mr. Sibouh Sam Keusseyan is a Personal Care Attendant in Henderson, Nevada. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2605 Vendange Pl
Henderson, NV 89044-0451
Phone: (702) 686-6284
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1104632876
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2024
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

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