NPIMap

Organization Active NPI

Comfort at Home Personal Care Assistance Corp

  • Homemaker
  • Las Vegas, NV
National Provider Identifier
1053948547
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
COMFORT AT HOME PERSONAL CARE ASSISTANCE CORP
Practice address
1820 E Sahara Ave Ste 114
Las Vegas, NV 89104-3736
Phone
(702) 262-1202
Fax
(702) 749-6232
NPI assigned
Mar 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Priscilla Garcia
Title
Administrator
Phone
(702) 321-6994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

1820 E Sahara Ave Ste 114
Las Vegas, NV 89104-3736

Mailing address

1820 E Sahara Ave Ste 114
Las Vegas, NV 89104-3736
Phone (702) 262-1202

Other identifiers 2

IdentifierTypeStateIssuer
9950MedicaidNV
9950OtherNVPERSONAL CARE SERVICES

Other names 1

  • COMFORT AT HOME PCA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comfort at Home Pca3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1500 E Tropicana Ave
Ste 157
Las Vegas, NV 89119
Phone (702) 262-1202

1820 E Sahara Ave
Ste 114
Las Vegas, NV 89104
Phone (702) 262-1202

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1053948547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E SAHARA AVE STE 114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043736",
            "telephone_number": "702-262-1202",
            "fax_number": "702-749-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E SAHARA AVE STE 114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043736",
            "telephone_number": "702-262-1202",
            "fax_number": "702-749-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT AT HOME PERSONAL CARE ASSISTANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-321-6994"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9950",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE SERVICES",
            "identifier": "9950",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMFORT AT HOME PCA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMFORT AT HOME PCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 17, 2021; 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.