NPIMap

Organization Active NPI

Elsube LLC

  • Homemaker
  • North Las Vegas, NV
National Provider Identifier
1063889459
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
20121700531 Issued in NV
Legal business name
ELSUBE LLC
Practice address
417 Foxvale Ave
North Las Vegas, NV 89032-6150
Phone
(702) 463-0082
Fax
(702) 463-0104
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Mrs. Elodia Maynard
Title
Manager
Phone
(702) 463-0082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X 20121700531 NV Primary

Addresses

Primary practice location

417 Foxvale Ave
North Las Vegas, NV 89032-6150

Mailing address

417 Foxvale Ave
North Las Vegas, NV 89032-6150
Phone (702) 463-0082

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": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1063889459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FOXVALE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890326150",
            "telephone_number": "702-463-0082",
            "fax_number": "702-463-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FOXVALE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890326150",
            "telephone_number": "702-463-0082",
            "fax_number": "702-463-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSUBE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "ELODIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-463-0082",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": "NV",
            "license": "20121700531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Antonio Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.