NPIMap

Organization Active NPI

Lutheran Social Services of Nevada

Doing business as Angels of Care Home Care

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1215308234
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
5948PCS-4 Issued in NV
Legal business name
LUTHERAN SOCIAL SERVICES OF NEVADA
Doing business as
Angels of Care Home Care
Practice address
73 Spectrum Blvd
Las Vegas, NV 89101-4838
Phone
(702) 639-1730
Fax
(702) 639-1736
NPI assigned
Oct 16, 2015
Last updated
Oct 16, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
LUTHERAN SOCIAL SERVICES OF NEVADAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Armena Mnatsakanyan, MPA
Title
Executive Director
Phone
(702) 639-1730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 5948PCS-4 NV Primary

Addresses

Primary practice location

73 Spectrum Blvd
Las Vegas, NV 89101-4838

Mailing address

73 Spectrum Blvd
Las Vegas, NV 89101-4838
Phone (702) 639-1730

Other identifiers 2

IdentifierTypeStateIssuer
152722000354MedicaidNV
152722000356MedicaidNV

Other names 1

  • Angels of Care Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Social Services of Nevada2 organizations share this tax ID, including this one
Part of
Lutheran Social Services of Nevada

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

73 Spectrum Blvd
Las Vegas, NV 89101
Phone (702) 639-1730

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.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1215308234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SPECTRUM BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891014838",
            "telephone_number": "702-639-1730",
            "fax_number": "702-639-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 SPECTRUM BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891014838",
            "telephone_number": "702-639-1730",
            "fax_number": "702-639-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF NEVADA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SOCIAL SERVICES OF NEVADA",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "MNATSAKANYAN",
        "authorized_official_first_name": "ARMENA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-639-1730",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "5948PCS-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152722000354",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152722000356",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels of Care Home Care",
            "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 Oct 16, 2015; 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.