Provider Demographics
NPI:1841178795
Name:TRAILWAYS PERSONAL CARE LLC
Entity type:Organization
Organization Name:TRAILWAYS PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:AL
Authorized Official - Last Name:HANCOCK
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:702-371-7970
Mailing Address - Street 1:4217 EL CONLON AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-0623
Mailing Address - Country:US
Mailing Address - Phone:702-371-7970
Mailing Address - Fax:
Practice Address - Street 1:3831 W CHARLESTON BLVD # 318
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1859
Practice Address - Country:US
Practice Address - Phone:702-371-7970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty