IndividualActive
Kenneth Humphrey Sr
NPI 1104704634 · Personal Care Attendant · Las Vegas, NV
Kenneth Humphrey Sr is a Personal Care Attendant provider in Las Vegas, NV (NPI 1104704634).
Provider details
- NPI number
- 1104704634
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4245 S Grand Canyon Dr
Las Vegas, NV 89147-7161
Phone: (702) 825-8106
Street-level locationGet directions
Mailing address
4245 S Grand Canyon Dr
Las Vegas, NV 89147-7161
Registry dates
- Enumerated
- 2025-08-22
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Frequently asked questions
- What is Kenneth Humphrey Sr's NPI number?
- Kenneth Humphrey Sr's National Provider Identifier (NPI) is 1104704634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Humphrey Sr's specialty?
- Kenneth Humphrey Sr is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).
- Where is Kenneth Humphrey Sr located?
- Kenneth Humphrey Sr's practice location on file with NPPES is 4245 S Grand Canyon Dr, Las Vegas, NV 89147-7161.
- What is Kenneth Humphrey Sr's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Humphrey Sr is (702) 825-8106.
- Is Kenneth Humphrey Sr's NPI active?
- Yes — Kenneth Humphrey Sr's NPI (1104704634) is active in the NPPES registry as of the last update on 2025-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.