Concierge Wound Care Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CONCIERGE WOUND CARE INC

Practice address

8820 Hickam Ave
Las Vegas, NV 89129-3625

Phone

(702) 438-2229

NPI assigned

Nov 11, 2024

Last updated

Nov 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Hernandez

Title

Billing Manager

Phone

(980) 989-9487

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

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.

• Christina Lynne Kushnir, M.D.

  • Gynecologic Oncology Physician
  • Las Vegas, NV
  • NPI 1376741793
  Medicare reassignment NPD

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1053135657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 HICKAM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891293625",
            "telephone_number": "702-438-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 HICKAM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891293625",
            "telephone_number": "702-438-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE WOUND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "980-989-9487"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Conchas Iglecias
• Delmarie Otero Conchola
• Concierge Health Inc
• Concierge Hospice Care
• Concierge Phleb LLC
• Conrado Concio, MD
• Abegail Concon, APRN, FNP-C
• Concorde Treatment Center, LLC (Desert Hope Center)
• Concorde Treatment Center,LLC (Desert Hope Center)
• Annalene Conde

• Multi-Specialty Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Multi-Specialty Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.