Active NPI
Preferred Homecare Infusion, LLC
- Home Infusion Therapy Pharmacy
- Las Vegas, NV
National Provider Identifier
1184169807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- PREFERRED HOMECARE INFUSION, LLC
- Practice address
- 871 Grier Dr
Ste B2
Las Vegas, NV 89119 - Phone
- (702) 214-8899
- Fax
- (702) 214-2621
- NPI assigned
- Jan 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Keys
- Title
- Ceo
- Phone
- (480) 446-9010
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Pharmacy | 333600000X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | Primary | ||
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
871 Grier Dr
Ste B2
Las Vegas, NV 89119
Mailing address
PO Box 40700
Mesa, AZ 85274-0700
Phone (480) 446-9010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184169807 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533513600000",
"number": "1184169807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40700",
"city": "MESA",
"state": "AZ",
"postal_code": "852740700",
"telephone_number": "480-446-9010",
"fax_number": "480-993-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 GRIER DR",
"address_2": "STE B2",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89119",
"telephone_number": "702-214-8899",
"fax_number": "702-214-2621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED HOMECARE INFUSION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-04",
"last_updated": "2018-08-06",
"status": "A",
"authorized_official_last_name": "KEYS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-446-9010"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184169807",
"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 Aug 6, 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.