Individual provider Active NPI

Mary Grace Sudario Grecia

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1194296434
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3829HHA-13 Issued in NV
Practice address
2680 S Jones Blvd Ste 2
Las Vegas, NV 89146-5634
Phone
(702) 227-0005
Fax
(702) 220-7915
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3829HHA-13 NV Primary

Addresses

Primary practice location

2680 S Jones Blvd Ste 2
Las Vegas, NV 89146-5634

Mailing address

2680 S Jones Blvd Ste 2
Las Vegas, NV 89146-5634
Phone (702) 227-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Home Health Care, LLC Home Health CurrentSince Feb 2, 2020 Accepting new patients
First Choice Home Healthcare,LLC Home Health Current Accepting new patients

Locations

2680 S Jones Blvd
Ste 2
Las Vegas, NV 89146
Phone (702) 227-0005

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1194296434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S JONES BLVD STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465634",
            "telephone_number": "702-227-0005",
            "fax_number": "702-220-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S JONES BLVD STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465634",
            "telephone_number": "702-227-0005",
            "fax_number": "702-220-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECIA",
        "first_name": "MARY GRACE",
        "middle_name": "SUDARIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "3829HHA-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 16, 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.