Active NPI
Hallow Hands Home Care LTD
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1013573195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HALLOW HANDS HOME CARE LTD
- Practice address
- 3305 Spring Mountain Rd Ste 41
Las Vegas, NV 89102-8622 - Phone
- (702) 551-5085
- NPI assigned
- May 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susette M Gilliam
- Title
- Ceo
- Phone
- (702) 551-5085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3305 Spring Mountain Rd Ste 41
Las Vegas, NV 89102-8622
Mailing address
10954 Free Flow PL
Las Vegas, NV 89138-6165
Phone (702) 551-5085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NV20191365892 | Other | NV | NEVADA BUSINESS LICENSE |
National Provider Directory
National Provider DirectoryLocations
3305 Spring Mountain Rd
Ste 41
Las Vegas, NV 89102
Phone (702) 551-5085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557792000000",
"number": "1013573195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10954 FREE FLOW PL",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891386165",
"telephone_number": "702-551-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 SPRING MOUNTAIN RD STE 41",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891028622",
"telephone_number": "702-551-5085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALLOW HANDS HOME CARE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A",
"authorized_official_last_name": "GILLIAM",
"authorized_official_first_name": "SUSETTE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-551-5085",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA BUSINESS LICENSE",
"identifier": "NV20191365892",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.