St Jude Home Care, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ST JUDE HOME CARE, INC

Practice address

6880 Hathaway Dr
Las Vegas, NV 89156-7143

Phone

(702) 409-8957

Fax

(702) 437-1473

NPI assigned

Dec 27, 2018

Organization subpart

No

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

Authorized official

Name

Jesse Abril

Title

President

Phone

(702) 409-8957

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1043782204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 HATHAWAY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891567143",
            "telephone_number": "702-409-8957",
            "fax_number": "702-437-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6880 HATHAWAY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891567143",
            "telephone_number": "702-409-8957",
            "fax_number": "702-437-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "ABRIL",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-409-8957"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine St Jean
• Robert Ilagan St Jean, PMHNP-BC
• St Jeremiah LLC
• St Jeremiah LLC
• St John Home Health LLC
• St Jude Sleep Solutions
• Michael David St Laurent, DMD
• Justin T St Louis
• Marc Miller St Louis
• Tharisha St Louis

• Adult Care Home Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Care Home Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.