NPIMap

Organization Active NPI

US National Personal Care, LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1083091151
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
NV20081040559 Issued in NV
Legal business name
US NATIONAL PERSONAL CARE, LLC
Practice address
2881 S Valley View Blvd
Suite # 16
Las Vegas, NV 89102-0100
Phone
(702) 253-1031
Fax
(702) 253-9474
NPI assigned
Apr 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Victor Vargas
Title
Administrator
Phone
(702) 253-1031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NV20081040559 NV Primary

Addresses

Primary practice location

2881 S Valley View Blvd
Suite # 16
Las Vegas, NV 89102-0100

Mailing address

2881 S Valley View Blvd
Suite # 16
Las Vegas, NV 89102-0100
Phone (702) 253-1031

Other identifiers 1

IdentifierTypeStateIssuer
9005055965MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
US National Personal Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2881 S Valley View Blvd
Ste 16
Las Vegas, NV 89102
Phone (702) 474-6300

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1083091151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 S VALLEY VIEW BLVD",
            "address_2": "SUITE # 16",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020100",
            "telephone_number": "702-253-1031",
            "fax_number": "702-253-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 S VALLEY VIEW BLVD",
            "address_2": "SUITE # 16",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020100",
            "telephone_number": "702-253-1031",
            "fax_number": "702-253-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US NATIONAL PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-253-1031"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "NV20081040559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005055965",
            "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 Apr 28, 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.