Organization Active NPI

Premier Home Care Services

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1013648435
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PREMIER HOME CARE SERVICES
Practice address
3365 Wynn Rd Ste F-1
Las Vegas, NV 89102-8210
Phone
(702) 986-8514
NPI assigned
Jun 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ana Bailetti
Title
Administrator
Phone
(702) 986-8514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3365 Wynn Rd Ste F-1
Las Vegas, NV 89102-8210

Mailing address

3365 Wynn Rd Ste F
Las Vegas, NV 89102-8202
Phone (702) 986-8514

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@goodsamaritanpca.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Premier Home Care Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3365 Wynn Rd
Ste F1
Las Vegas, NV 89102
Phone (702) 986-8514

3365 Wynn Rd
Ste F
Las Vegas, NV 89102
Phone (702) 331-4161

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1013648435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 WYNN RD STE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028202",
            "telephone_number": "702-986-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 WYNN RD STE F-1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028210",
            "telephone_number": "702-986-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "BAILETTI",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-986-8514"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@goodsamaritanpca.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3365 Wynn Rd Ste F",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891028202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 13, 2025; 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.