Organization Active NPI

Addie's Home Care Inc

  • Lodging Provider
  • Las Vegas, NV
National Provider Identifier
1073759437
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
License
5303AGC Issued in NV
Legal business name
ADDIE'S HOME CARE INC
Practice address
7955 Trail Head Dr
Las Vegas, NV 89113-1706
Phone
(702) 227-1522
Fax
(702) 685-8686
NPI assigned
Jan 6, 2009
Last updated
Jan 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Addie M Deguzman
Title
Ceo
Phone
(702) 227-1522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 177F00000X 5303AGC NV Primary

Addresses

Primary practice location

7955 Trail Head Dr
Las Vegas, NV 89113-1706

Mailing address

7955 Trail Head Dr
Las Vegas, NV 89113-1706
Phone (702) 227-1522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1073759437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 TRAIL HEAD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131706",
            "telephone_number": "702-227-1522",
            "fax_number": "702-685-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 TRAIL HEAD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131706",
            "telephone_number": "702-227-1522",
            "fax_number": "702-685-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDIE'S HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "DEGUZMAN",
        "authorized_official_first_name": "ADDIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-227-1522"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lodging",
            "state": "NV",
            "license": "5303AGC",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 6, 2009; 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.