Care Source Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

412088A-1 Issued in NV

Legal business name

CARE SOURCE HOME HEALTH, LLC

Practice address

953 E Sahara Ave
F-17
Las Vegas, NV 89104-3005

Phone

(702) 862-4050

Fax

(702) 862-4060

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Desiree Magcalas, RN

Title

President

Phone

(818) 448-4858

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1053334433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 E SAHARA AVE STE F-17",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043005",
            "telephone_number": "702-862-4050",
            "fax_number": "702-862-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 E SAHARA AVE",
            "address_2": "F-17",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043005",
            "telephone_number": "702-862-4050",
            "fax_number": "702-862-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE SOURCE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MAGCALAS",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-448-4858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "412088A-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.