Provider Demographics
NPI:1417602426
Name:YANCY, KEANNA
Entity Type:Individual
Prefix:
First Name:KEANNA
Middle Name:
Last Name:YANCY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8670 W CHEYENNE, SUITE 135
Mailing Address - Street 2:A HELPING HAND IN HOME HEALTH CARE
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129
Mailing Address - Country:US
Mailing Address - Phone:702-822-2600
Mailing Address - Fax:702-822-1910
Practice Address - Street 1:8670 W CHEYENNE, SUITE 135
Practice Address - Street 2:A HELPING HAND IN HOME HEALTH CARE
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129
Practice Address - Country:US
Practice Address - Phone:702-822-2600
Practice Address - Fax:702-822-1910
Is Sole Proprietor?:No
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide