Vegas Valley Perosnal Care

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

H14-00141-B-120899 Issued in NV

Legal business name

VEGAS VALLEY PEROSNAL CARE

Practice address

5016 Alta Dr
Las Vegas, NV 89107-3927

Phone

(702) 870-8855

Fax

(702) 870-8857

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lorraine Gomez

Title

Off Manager

Phone

(702) 870-8855

Specialties & licenses 1

Addresses

Tax ID family

Vegas Valley Perosnal Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Vegas Valley Personal Care

  • Health Maintenance Organization
  • Las Vegas, NV
  • NPI 1457447591
  NPD tax ID

Locations

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083674246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 ALTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073927",
            "telephone_number": "702-870-8855",
            "fax_number": "702-870-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 ALTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073927",
            "telephone_number": "702-870-8855",
            "fax_number": "702-870-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS VALLEY PEROSNAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OFF MANAGER",
        "authorized_official_telephone_number": "702-870-8855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NV",
            "license": "H14-00141-B-120899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vegas Valley Billing Company LLC
• Vegas Valley Comprehensive Counseling, LLC
• Vegas Valley Eye and Vision
• Vegas Valley Medical Center, LLC
• Vegas Valley Medical LLC
• Vegas Valley Personal Care
• Vegas Valley Primary Care
• Vegas Valley Rehabilitation
• Vegas Valley Rehabilitation LLC
• Vegas Valley Treatment Center

• Exclusive Provider Organization in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Exclusive Provider Organization in Nevada

• 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.