Active NPI
Chisal Enterprises, Inc.
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1073662185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 4584HHA-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4584HHA-1 | Other | NV | NV STATE BLC LICENSE |
Other names 1
- Chisal Home Health Agency
National Provider Directory
National Provider DirectoryLocations
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.
-
- Administrator Registered Nurse
- Paramount, CA
- NPI 1487262879
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.