Mary Jewels Health Services Inc

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

EO4373920119 Issued in NV

Legal business name

MARY JEWELS HEALTH SERVICES INC

Practice address

2224 Canary Way
Las Vegas, NV 89106-1912

Phone

(702) 201-8585

NPI assigned

Oct 11, 2013

Organization subpart

No

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

Authorized official

Name

Jewel Deguzman

Title

Owner

Phone

(702) 201-8585

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Cassels 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.

• Jewel Deguzman

  • Nursing Facility/Intermediate Care Facility
  • Las Vegas, NV
  • NPI 1215364922
  NPD tax ID

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1104253905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 CANARY WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-201-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 CANARY WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061912",
            "telephone_number": "702-201-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JEWELS HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "DEGUZMAN",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-201-8585"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NV",
            "license": "EO4373920119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205183856",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Marx, OTR/L
• Kimberly Marie Marx, LMSW, CSW-INTERN
• Matthew Marx
• Mary Hartsell Therapy LLC
• Mary Home Health, Inc.
• Mary Jo Gill
• Mary Kiepert, MD. LTD
• Maryam Sina
• Rida Maryam
• Maryanne D. Phillips MD Apc

• Physical Disabilities Residential Treatment Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Disabilities Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.