Organization Active NPI

Alpha Home Health Agency, Inc.

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1174723910
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4887HHA-0 Issued in NV
Legal business name
ALPHA HOME HEALTH AGENCY, INC.
Practice address
6392 McLeod Dr Ste 1
Las Vegas, NV 89120-4417
Phone
(702) 254-0082
Fax
(702) 796-0083
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Scott Houston Cassavaugh
Title
President
Phone
(702) 254-0082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4887HHA-0 NV Primary

Addresses

Primary practice location

6392 McLeod Dr Ste 1
Las Vegas, NV 89120-4417

Mailing address

6392 McLeod Dr Ste 1
Las Vegas, NV 89120-4417
Phone (702) 254-0082

Other identifiers 1

IdentifierTypeStateIssuer
4887HHA-0OtherNVSTATE OF NEVADA - BUREAU

National Provider Directory

National Provider Directory

Locations

6392 McLeod Dr
Ste 4
Las Vegas, NV 89120
Phone (702) 254-0082

6392 McLeod Dr
Ste 1
Las Vegas, NV 89120
Phone (702) 254-0082

3120 S Durango Dr
Ste 303
Las Vegas, NV 89117
Phone (702) 254-0082

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1174723910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6392 MCLEOD DR STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204417",
            "telephone_number": "702-254-0082",
            "fax_number": "702-796-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6392 MCLEOD DR STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204417",
            "telephone_number": "702-254-0082",
            "fax_number": "702-796-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "CASSAVAUGH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "HOUSTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-254-0082"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "4887HHA-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEVADA - BUREAU",
            "identifier": "4887HHA-0",
            "state": "NV"
        }
    ],
    "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 Apr 7, 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.