Jesus Hernandez Malfavon

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

4326 W Cheyenne Ave
N Las Vegas, NV 89032-2484

Phone

(702) 636-7000

Fax

(702) 636-1952

NPI assigned

Nov 10, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1013673458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 W CHEYENNE AVE STE 100",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890322484",
            "telephone_number": "702-636-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 W CHEYENNE AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890322484",
            "telephone_number": "702-636-7000",
            "fax_number": "702-636-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALFAVON",
        "first_name": "JESUS",
        "middle_name": "HERNANDEZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.