Organization Active NPI

Las Vegas House Calls LLC

  • Legal Medicine
  • Las Vegas, NV
National Provider Identifier
1073526448
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
7359 Issued in NV
Legal business name
LAS VEGAS HOUSE CALLS LLC
Practice address
9563 Borgata Bay Blvd
Las Vegas, NV 89147-8014
Phone
(702) 818-5933
Fax
(702) 818-5934
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Monica K Mitchell
Title
Managing Member
Phone
(702) 818-5933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 7359 NV Primary

Addresses

Primary practice location

9563 Borgata Bay Blvd
Las Vegas, NV 89147-8014

Mailing address

9563 Borgata Bay Blvd
Las Vegas, NV 89147-8014
Phone (702) 818-5933

Other identifiers 1

IdentifierTypeStateIssuer
NV1360OtherNVANTHEM BCBS NV GROUP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073526448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9563 BORGATA BAY BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478014",
            "telephone_number": "702-818-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9563 BORGATA BAY BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478014",
            "telephone_number": "702-818-5933",
            "fax_number": "702-818-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-818-5933"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NV",
            "license": "7359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS NV GROUP",
            "identifier": "NV1360",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.