My Little Heart Home LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MY LITTLE HEART HOME LLC

Practice address

2372 Gabriel Dr
Las Vegas, NV 89119-6173

Phone

(702) 978-1648

NPI assigned

Nov 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Mary Charmaine Estrella Campana, MD

Title

Owner

Phone

(702) 978-1648

Specialties & licenses 1

Addresses

Other names 1

• American Senior Home Gabriel Doing business as

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1043856800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2372 GABRIEL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196173",
            "telephone_number": "702-978-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 GABRIEL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196173",
            "telephone_number": "702-978-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY LITTLE HEART HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "CAMPANA",
        "authorized_official_first_name": "MARY CHARMAINE",
        "authorized_official_middle_name": "ESTRELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-978-1648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Senior Home Gabriel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Nov 26, 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.