NPIMap

Organization Active NPI

Khoren Barseghyan

Doing business as LifeSource Home Care

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1164920336
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
8977-PCS-0 Issued in NV
Legal business name
KHOREN BARSEGHYAN
Doing business as
LifeSource Home Care
Practice address
3075 Greenbriar Dr
Las Vegas, NV 89121-2405
Phone
(702) 333-2344
Fax
(702) 960-3046
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Khoren BarseghyanNPI 1871008128
Title
Administrator
Phone
(702) 561-7407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 8977-PCS-0 NV Primary

Addresses

Primary practice location

3075 Greenbriar Dr
Las Vegas, NV 89121-2405

Mailing address

3075 Greenbriar Dr
Las Vegas, NV 89121-2405
Phone (702) 333-2344

Other names 1

  • LifeSource Home Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1164920336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 GREENBRIAR DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212405",
            "telephone_number": "702-333-2344",
            "fax_number": "702-960-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 GREENBRIAR DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212405",
            "telephone_number": "702-333-2344",
            "fax_number": "702-960-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOREN BARSEGHYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "BARSEGHYAN",
        "authorized_official_first_name": "KHOREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-561-7407"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "8977-PCS-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSource Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 23, 2018; 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.