Active NPI
Simone Davis
- Homemaker
- Las Vegas, NV
National Provider Identifier
1124836689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 3001 Lake East Dr Apt B1011
Las Vegas, NV 89117-2205 - Phone
- (888) 629-3590
- NPI assigned
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
3001 Lake East Dr Apt B1011
Las Vegas, NV 89117-2205
Mailing address
3001 Lake East Dr Apt 1011
Las Vegas, NV 89117-2207
Phone (888) 629-3590
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elegant Escape Hospiality, LLC | Current | Accepting new patients | |
| Caring Solutions Network LLC | Current | Accepting new patients | |
| Pivotal Confidence Consulting | Current | Accepting new patients |
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.
-
- In Home Supportive Care Agency
- Las Vegas, NV
- NPI 1043008154
-
- Assisted Living Facility
- Las Vegas, NV
- NPI 1770472573
-
- In Home Supportive Care Agency
- Los Angeles, CA
- NPI 1497570790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1124836689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 LAKE EAST DR APT 1011",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172207",
"telephone_number": "888-629-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 LAKE EAST DR APT B1011",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172205",
"telephone_number": "888-629-3590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SIMONE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"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 Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.