Whole Life Personal Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

NV201801659566 Issued in NV

Legal business name

WHOLE LIFE PERSONAL CARE AGENCY

Practice address

2525 N Decatur Blvd Ste 2And5
Las Vegas, NV 89108-2975

Phone

(702) 982-3636

Fax

(702) 982-3737

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Lucy M Jackson, MS

Title

Administrator

Phone

(702) 412-5175

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1033606801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N DECATUR BLVD STE 2AND5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082975",
            "telephone_number": "702-982-3636",
            "fax_number": "702-982-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N DECATUR BLVD STE 2AND5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082975",
            "telephone_number": "702-982-3636",
            "fax_number": "702-982-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE PERSONAL CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-412-5175",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "NV201801659566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Health Collective LLC
• Whole Health Counseling LLC
• Whole Life Health Support Services
• Whole Life Health Therapy and Wellness Center
• Whole Life Integrated Care LLC
• Whole Mind Whole Body Health LLC
• Whole Nutrition Lifestyles, LLC
• Whole Nutrition Lifestyles, LLC
• Wholeness Mental Health LLC
• Wholesome Living Facility LLC

• In Home Supportive Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.