Organization Active NPI

My Joy Home Care Agency

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1154946515
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MY JOY HOME CARE AGENCY
Practice address
3936 Ruskin St
Las Vegas, NV 89147-6557
Phone
(702) 673-8879
Fax
(702) 854-9971
NPI assigned
Jun 11, 2020
Organization subpart
Yes
Parent organization
NEW START SAFE HAVEN RESIDENTIAL HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Rochelle Denyse Elliott, CO-OWNER
Title
Co-Owner
Phone
(702) 673-8879

Specialties & licenses 1

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

Addresses

Primary practice location

3936 Ruskin St
Las Vegas, NV 89147-6557

Mailing address

3936 Ruskin St
Las Vegas, NV 89147-6557
Phone (702) 673-8879

National Provider Directory

National Provider Directory
Part of
My Joy Home Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1154946515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 RUSKIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476557",
            "telephone_number": "702-673-8879",
            "fax_number": "702-854-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 RUSKIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476557",
            "telephone_number": "702-673-8879",
            "fax_number": "702-854-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY JOY HOME CARE AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW START SAFE HAVEN RESIDENTIAL HOME",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "DENYSE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "702-673-8879",
        "authorized_official_credential": "CO-OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Jun 11, 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.