Organization Active NPI

Cci Home Care, LLC

  • Home Health Aide
  • Las Vegas, NV
National Provider Identifier
1104465434
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
CCI HOME CARE, LLC
Practice address
500 N Rainbow Blvd Ste 300-318
Las Vegas, NV 89107-1082
Phone
(702) 333-8153
NPI assigned
Jan 3, 2020
Last updated
Jan 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Minyon Sharpe, LPN
Title
Administrator
Phone
(725) 400-3592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

500 N Rainbow Blvd Ste 300-318
Las Vegas, NV 89107-1082

Mailing address

5263 Souvenir LN
Las Vegas, NV 89118-1334
Phone (725) 400-3592

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Msharpe@ccihomecare.com

National Provider Directory

National Provider Directory

Locations

500 N Rainbow Blvd
Ste 300318
Las Vegas, NV 89107
Phone (702) 333-8153

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1104465434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 SOUVENIR LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181334",
            "telephone_number": "725-400-3592",
            "fax_number": "702-333-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD STE 300-318",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "702-333-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCI HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "MINYON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "725-400-3592",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Msharpe@ccihomecare.com",
            "affiliation": "N",
            "address_1": "500 N Rainbow Blvd Ste 300-318",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891071082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 3, 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.