NPIMap

Organization Active NPI

Exclusive Home Healthcare

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1023326691
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20101385764 Issued in NV
Legal business name
EXCLUSIVE HOME HEALTHCARE
Practice address
1101 N Decatur Blvd
Las Vegas, NV 89108-1220
Phone
(702) 813-9827
Fax
(702) 642-4372
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Mr. Kikhela Papy Tsasa
Title
Administrator
Phone
(702) 813-9827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20101385764 NV Primary

Addresses

Primary practice location

1101 N Decatur Blvd
Las Vegas, NV 89108-1220

Mailing address

1101 N Decatur Blvd
Las Vegas, NV 89108-1220
Phone (702) 813-9827

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1023326691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081220",
            "telephone_number": "702-813-9827",
            "fax_number": "702-642-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081220",
            "telephone_number": "702-813-9827",
            "fax_number": "702-642-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVE HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "TSASA",
        "authorized_official_first_name": "KIKHELA",
        "authorized_official_middle_name": "PAPY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-813-9827",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "20101385764",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 10, 2017; 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.