Taba Personal Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TABA PERSONAL CARE

Practice address

5160 S Eastern Ave
Suite F
Las Vegas, NV 89119-2376

Phone

(702) 353-0602

Fax

(702) 724-0585

NPI assigned

Mar 14, 2016

Organization subpart

No

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

Authorized official

Name

Miriam Nallely Perdomo-Aguilar

Title

Director

Phone

(702) 353-0602

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1053772376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 S EASTERN AVE",
            "address_2": "SUITE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192376",
            "telephone_number": "702-353-0602",
            "fax_number": "702-724-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 S EASTERN AVE",
            "address_2": "SUITE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192376",
            "telephone_number": "702-353-0602",
            "fax_number": "702-724-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABA PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "PERDOMO-AGUILAR",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "NALLELY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-353-0602"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Ta, OD
• Quynhvy Ta, DO
• Mary Ann Ta'Ase
• Esekia Taalo
• Rachel Q Taasan
• Jesse Tabaczynski
• Carmen Tabalno
• Machaela Tabalno
• Brandon Auguste Tabamo
• Melona Tabanao

• 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 14, 2016; 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.