NPIMap

Organization Active NPI

Elsube LLC

  • Home Health Agency
  • N Las Vegas, NV
National Provider Identifier
1053748301
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELSUBE LLC
Doing business as
San Antonio Personal Care
Practice address
417 Foxvale Ave
N Las Vegas, NV 89032-6150
Phone
(702) 643-1552
NPI assigned
Oct 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Mrs. Elodia Maynard, CNA
Title
Managing Partner
Phone
(702) 643-1552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

417 Foxvale Ave
N Las Vegas, NV 89032-6150

Mailing address

417 Foxvale Ave
N Las Vegas, NV 89032-6150
Phone (702) 643-1552

Other names 1

  • San Antonio Personal Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elsube LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1053748301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FOXVALE AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890326150",
            "telephone_number": "702-643-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FOXVALE AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890326150",
            "telephone_number": "702-643-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSUBE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "ELODIA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-643-1552",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Antonio Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N 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 2, 2013; 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.