Care With Purpose Medical Center, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CARE WITH PURPOSE MEDICAL CENTER, LLC

Practice address

2580 N Rancho Dr Ste 103
Las Vegas, NV 89130-3361

Phone

(818) 481-3571

NPI assigned

Jul 3, 2020

Organization subpart

No

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

Authorized official

Name

Shenakwa Hawkins, RNNPI 1306384086

Title

Owner

Phone

(818) 481-3571

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

A P Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• A-P Medical Group Iroha PLLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1770025066
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shenakwa Hawkins, APRN, RN

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1306384086
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1164049375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 N RANCHO DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303361",
            "telephone_number": "818-481-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 N RANCHO DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303361",
            "telephone_number": "818-481-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE WITH PURPOSE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "SHENAKWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-481-3571",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANTS & ADVANCED PRACTICE NURSING PROVIDERS / NURSE PRACTITIONER",
            "identifier": "APRN002399",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.