NPIMap

Organization Active NPI

Excellence Home Care

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1043880016
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EXCELLENCE HOME CARE
Practice address
3400 W Desert Inn Rd Ste 16
Las Vegas, NV 89102-8355
Phone
(702) 279-4108
NPI assigned
Jun 30, 2021
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Miss Astghik Saghatelyan
Title
Owner/Administrator
Phone
(702) 786-7379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3400 W Desert Inn Rd Ste 16
Las Vegas, NV 89102-8355

Mailing address

620 Cragin Park Dr
Las Vegas, NV 89107-4313

National Provider Directory

National Provider Directory
Tax ID family
Excellence Home Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3400 W Desert Inn Rd
Ste 16
Las Vegas, NV 89102
Phone (702) 279-4108

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1043880016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CRAGIN PARK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W DESERT INN RD STE 16",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028355",
            "telephone_number": "702-279-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "SAGHATELYAN",
        "authorized_official_first_name": "ASTGHIK",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "702-786-7379",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive 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 Oct 17, 2024; 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.