NPIMap

Organization Active NPI

Immediate Personal Care Inc

  • Respite Care
  • Las Vegas, NV
National Provider Identifier
1043765886
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
8227-PCO-0 Issued in NV
Legal business name
IMMEDIATE PERSONAL CARE INC
Practice address
2820 W Charleston Blvd Ste 8
Las Vegas, NV 89102-1929
Phone
(702) 586-7431
Fax
(702) 586-7260
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Ogbouma Oke Ulofoshio
Title
President
Phone
(702) 202-0552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 8227-PCO-0 NV Primary

Addresses

Primary practice location

2820 W Charleston Blvd Ste 8
Las Vegas, NV 89102-1929

Mailing address

PO Box 777122
Henderson, NV 89077
Phone (702) 586-7431

Other identifiers 1

IdentifierTypeStateIssuer
8227PCO0MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Immediate Personal Care Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2820 W Charleston Blvd
Ste 8
Las Vegas, NV 89102
Phone (702) 586-7431

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1043765886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777122",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89077",
            "telephone_number": "702-586-7431",
            "fax_number": "702-586-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021929",
            "telephone_number": "702-586-7431",
            "fax_number": "702-586-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE PERSONAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "ULOFOSHIO",
        "authorized_official_first_name": "OGBOUMA",
        "authorized_official_middle_name": "OKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-202-0552"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NV",
            "license": "8227-PCO-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8227PCO0",
            "state": "NV"
        }
    ],
    "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 Aug 20, 2019; 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.