Organization Active NPI

Get Well House Calls LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1033744438
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GET WELL HOUSE CALLS LLC
Practice address
3160 S Valley View Blvd Ste 203
Las Vegas, NV 89102-8316
Phone
(702) 693-4202
Fax
(702) 802-0804
NPI assigned
Mar 5, 2020
Last updated
Mar 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Minkyung Lim
Title
Owner
Phone
(702) 693-4202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

3160 S Valley View Blvd Ste 203
Las Vegas, NV 89102-8316

Mailing address

3160 S Valley View Blvd Ste 203
Las Vegas, NV 89102-8316
Phone (702) 693-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200624000671 NV Part B Supplier - Clinic/Group Practice 1557783313 Receives reassigned benefits from 7 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

3160 S Valley View Blvd
Ste 203
Las Vegas, NV 89102
Phone (702) 693-4202

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1033744438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 S VALLEY VIEW BLVD STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028316",
            "telephone_number": "702-693-4202",
            "fax_number": "702-802-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 S VALLEY VIEW BLVD STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028316",
            "telephone_number": "702-693-4202",
            "fax_number": "702-802-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GET WELL HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "MINKYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-693-4202"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "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 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.