NPIMap

Organization Active NPI

Nem-Care LLC

  • Family Medicine Physician
  • N Las Vegas, NV
National Provider Identifier
1194019067
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEM-CARE LLC
Practice address
2670 N Las Vegas Blvd Ste 109
N Las Vegas, NV 89030-5871
Phone
(702) 399-0604
Fax
(702) 399-0607
NPI assigned
Jun 8, 2011
Organization subpart
Yes
Parent organization
NEM-CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Edmond Patvakanyan
Title
Owner
Phone
(702) 255-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2670 N Las Vegas Blvd Ste 109
N Las Vegas, NV 89030-5871

Mailing address

4440 E Washington Ave Ste 109
Las Vegas, NV 89110-5793
Phone (702) 255-1114

Other names 1

  • NEM MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000365 NV Part B Supplier - Clinic/Group Practice 2860447679 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV; N Las Vegas, NV

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Nem-Care LLC

Locations

2670 N Las Vegas Blvd
Ste 109
North Las Vegas, NV 89030
Phone (702) 399-0604

4090 W Craig Rd
Ste 102
North Las Vegas, NV 89032
Phone (702) 329-1710

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1194019067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 E WASHINGTON AVE STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105793",
            "telephone_number": "702-255-1114",
            "fax_number": "702-255-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 N LAS VEGAS BLVD STE 109",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890305871",
            "telephone_number": "702-399-0604",
            "fax_number": "702-399-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEM-CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEM-CARE LLC",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "PATVAKANYAN",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-255-1114"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEM MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.