Individual provider Active NPI

Alexis Garcia-Calipusan

  • Meals Provider
  • Las Vegas, NV
National Provider Identifier
1104797984
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Practice address
1771 E Flamingo Rd Ste 208B
Las Vegas, NV 89119-0853
Phone
(702) 620-3220
NPI assigned
Sep 15, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary

Addresses

Primary practice location

1771 E Flamingo Rd Ste 208B
Las Vegas, NV 89119-0853

Mailing address

1771 E Flamingo Rd Ste 208B
Las Vegas, NV 89119-0853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care Center Home Health, Inc. Current Accepting new patients
Carepro Hospice LLC CurrentSince Sep 21, 2025 Accepting new patients
Home Health Enterprise LLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

1771 E Flamingo Rd
Ste 208B
Las Vegas, NV 89119
Phone (702) 430-9517

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1104797984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 208B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 208B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190853",
            "telephone_number": "702-620-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-CALIPUSAN",
        "first_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 15, 2025; 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.