Individual ProviderHelen Grace MeridorNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1675 Marion Bennet Dr, Las Vegas, NV 89106-2462(602) 814-1554PECOS EnrollmentBased on the most recent information from CMS, provider Helen Grace Meridor is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1861246860Provider TypeIndividualFull NameMeridor, Helen GraceGenderFemaleSole ProprietorYesEnumeration Date4/16/2024Last Updated4/16/2024Contact InformationPractice LocationPractice Address1675 Marion Bennet Dr, Las Vegas, NV 89106-2462Phone(602) 814-1554FaxUnlisted FaxMailing LocationMailing Address1675 Marion Bennet Dr, Las Vegas, NV 89106-2462Phone(602) 814-1554FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense876337Nevada