Individual provider Active NPI

Lawanda Joi Kendall

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1114597945
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
3546 Dromedary Way Apt 2341
Las Vegas, NV 89115-3022
Phone
(424) 264-6964
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3546 Dromedary Way Apt 2341
Las Vegas, NV 89115-3022

Mailing address

3546 Dromedary Way Apt 2341
Las Vegas, NV 89115-3022

Other identifiers 1

IdentifierTypeStateIssuer
1406316054OtherNVNV DRIVER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alliancehomecare@qualityservice.com

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
Alliance Home Care and Senior Services, LLC In Home Supportive Care Current Accepting new patients

Organizations & group practices 1

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1114597945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 DROMEDARY WAY APT 2341",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891153022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 DROMEDARY WAY APT 2341",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891153022",
            "telephone_number": "424-264-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "LAWANDA",
        "middle_name": "JOI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV DRIVER LICENSE",
            "identifier": "1406316054",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alliancehomecare@qualityservice.com",
            "affiliation": "N",
            "address_1": "3546 Dromedary Way Apt 2341",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891153022",
            "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 Jun 24, 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.