Individual provider Active NPI

Salvador A Balana Jr.

  • Home Health Clinical Nurse Specialist
  • Henderson, NV
National Provider Identifier
1144834052
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
License
2019311256 Issued in NV
Practice address
1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367
Phone
(702) 245-1533
NPI assigned
Sep 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Clinical Nurse Specialist 364SH0200X 2019311256 NV Primary

Addresses

Primary practice location

1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367

Mailing address

1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367
Phone (702) 245-1533

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

State licenses

LicenseStateTypeSpecialty
2019311256NVMDHome Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable Care Registry Corp Current Accepting new patients

Locations

1489 W Warm Springs Rd
Ste 110
Henderson, NV 89014
Phone (702) 219-9583

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": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1144834052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 W WARM SPRINGS RD STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147367",
            "telephone_number": "702-245-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 W WARM SPRINGS RD STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147367",
            "telephone_number": "702-245-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALANA",
        "first_name": "SALVADOR",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "NV",
            "license": "2019311256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.