The Wood Agency Home & Life

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE WOOD AGENCY HOME & LIFE

Practice address

2350 S Jones Blvd Ste 219
Las Vegas, NV 89146-3103

Phone

(702) 530-8298

NPI assigned

May 12, 2021

Organization subpart

Yes

Parent organization

THE WOOD AGENCY HOME & LIFEAs reported in NPPES

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

Authorized official

Name

Tiffanie WoodNPI 1811576440

Title

Managing Member

Phone

(702) 530-8298

Specialties & licenses 2

Addresses

Other names 1

• THE WOOD AGENCY HOME & LIFE Doing business as

Part of

The Wood Agency Home Life

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffanie Wood

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1811576440

  In Home Supportive Care

  NPD Authorized official

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1093399230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N RAINBOW BLVD # 192",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084578",
            "telephone_number": "702-530-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 S JONES BLVD STE 219",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463103",
            "telephone_number": "702-530-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOOD AGENCY HOME & LIFE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WOOD AGENCY HOME & LIFE",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-530-8298"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE WOOD AGENCY HOME & LIFE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE WOOD AGENCY HOME & LIFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.