Organization Active NPI

Jewel Deguzman

  • Nursing Facility/Intermediate Care Facility
  • Las Vegas, NV
National Provider Identifier
1215364922
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
JEWEL DEGUZMAN
Practice address
2224 Canary Way
Las Vegas, NV 89106-1912
Phone
(702) 201-8585
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Jewel M Deguzman, OA
Title
President
Phone
(702) 201-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

2224 Canary Way
Las Vegas, NV 89106-1912

Mailing address

2224 Canary Way
Las Vegas, NV 89106-1912
Phone (702) 201-8585

Other identifiers 1

IdentifierTypeStateIssuer
59MedicaidNV

Other names 1

  • Cassels Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cassels Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1215364922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 CANARY WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061912",
            "telephone_number": "702-201-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 CANARY WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061912",
            "telephone_number": "702-201-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWEL DEGUZMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "DEGUZMAN",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-201-8585",
        "authorized_official_credential": "OA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cassels 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 Sep 27, 2013; 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.