Organization Active NPI

Hallow Hands Home Care LTD

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1013573195
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 14, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NV20191365892OtherNVNEVADA BUSINESS LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.