Organization Active NPI

Chisal Enterprises, Inc.

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1073662185
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4584HHA-1 Issued in NV
Legal business name
CHISAL ENTERPRISES, INC.
Doing business as
Chisal Home Health Agency
Practice address
6230 McLeod Dr
Suite #100
Las Vegas, NV 89120-4442
Phone
(702) 898-2212
Fax
(702) 898-2201
NPI assigned
Jan 9, 2007
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
Mrs. Jennifer A Basilio, RN
Title
Administrator
Phone
(702) 898-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4584HHA-1 NV Primary

Addresses

Primary practice location

6230 McLeod Dr
Suite #100
Las Vegas, NV 89120-4442

Mailing address

6230 McLeod Dr
Suite #100
Las Vegas, NV 89120-4442
Phone (702) 898-2212

Other identifiers 1

IdentifierTypeStateIssuer
4584HHA-1OtherNVNV STATE BLC LICENSE

Other names 1

  • Chisal Home Health Agency Doing business as

National Provider Directory

National Provider Directory

Locations

6230 McLeod Dr
#8A1
Las Vegas, NV 89120
Phone (702) 898-2212

6230 McLeod Dr
Ste 100
Las Vegas, NV 89120
Phone (702) 898-2212

3281 N Decatur Blvd
Ste 130
Las Vegas, NV 89130
Phone (702) 898-2212

Practitioners & affiliated clinicians

Practitioners 1

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073662185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 MCLEOD DR",
            "address_2": "SUITE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204442",
            "telephone_number": "702-898-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 MCLEOD DR",
            "address_2": "SUITE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204442",
            "telephone_number": "702-898-2212",
            "fax_number": "702-898-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISAL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASILIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-898-2212",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "4584HHA-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE BLC LICENSE",
            "identifier": "4584HHA-1",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chisal Home Health Agency",
            "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 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.