Organization Active NPI

Collaborate Care LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1194314542
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COLLABORATE CARE LLC
Doing business as
COLLABORATE CARE IN HOME SERVICES
Practice address
5538 Autumn Cliffs Way
Las Vegas, NV 89118-6103
Phone
(702) 767-4963
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Rechell Devilla, OWNER
Title
Ceo
Phone
(702) 767-4963

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5538 Autumn Cliffs Way
Las Vegas, NV 89118-6103

Mailing address

5538 Autumn Cliffs Way
Las Vegas, NV 89118-6103
Phone (702) 767-4963

Other names 1

  • COLLABORATE CARE IN HOME SERVICES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1194314542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 AUTUMN CLIFFS WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891186103",
            "telephone_number": "702-767-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5538 AUTUMN CLIFFS WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891186103",
            "telephone_number": "702-767-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "DEVILLA",
        "authorized_official_first_name": "RECHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-767-4963",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLABORATE CARE IN HOME SERVICES",
            "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 11, 2021; 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.