Active NPI
Devora Susana Leon-Lopez
- Personal Care Attendant
- Las Vegas, NV
National Provider Identifier
1154977940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- Fine Star Home Care Services
3620 N. Rancho Dr Suite 117
Las Vegas, NV 89130 - Phone
- (725) 251-3737
- Fax
- (725) 251-5797
- NPI assigned
- Aug 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Homemaker | 376J00000X | |||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
Fine Star Home Care Services
3620 N. Rancho Dr Suite 117
Las Vegas, NV 89130
Mailing address
3620 N. Rancho Dr Suite 117
Las Vegas, NV 89130
Phone (725) 251-3737
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1154977940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 N. RANCHO DR SUITE 117",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89130",
"telephone_number": "725-251-3737",
"fax_number": "725-251-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FINE STAR HOME CARE SERVICES",
"address_2": "3620 N. RANCHO DR SUITE 117",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89130",
"telephone_number": "725-251-3737",
"fax_number": "725-251-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON-LOPEZ",
"first_name": "DEVORA",
"middle_name": "SUSANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"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 May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.