NPIMap

Organization Active NPI

Personal Care Nevada LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1043939861
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PERSONAL CARE NEVADA LLC
Practice address
6245 Harrison Dr Ste 6
Las Vegas, NV 89120-4035
Phone
(725) 300-0104
Fax
(725) 300-0446
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Jessica DavisNPI 1306542774
Title
Owner
Phone
(725) 300-0104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6245 Harrison Dr Ste 6
Las Vegas, NV 89120-4035

Mailing address

6245 Harrison Dr Ste 6
Las Vegas, NV 89120-4035
Phone (725) 300-0104

National Provider Directory

National Provider Directory

Locations

6245 Harrison Dr
Ste 6
Las Vegas, NV 89120
Phone (702) 215-1545

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1043939861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 HARRISON DR STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204035",
            "telephone_number": "725-300-0104",
            "fax_number": "725-300-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 HARRISON DR STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204035",
            "telephone_number": "725-300-0104",
            "fax_number": "725-300-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-300-0104"
    },
    "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 Aug 24, 2022; 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.