Active NPI
Lourdes Vargas
- Personal Care Attendant
- Las Vegas, NV
National Provider Identifier
1215592605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 800 N Rainbow Blvd Ste 28
Las Vegas, NV 89107-1189 - Phone
- (702) 293-3888
- Fax
- (702) 293-3664
- NPI assigned
- May 1, 2019
- Last updated
- May 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
800 N Rainbow Blvd Ste 28
Las Vegas, NV 89107-1189
Mailing address
4640 Vegas Valley Dr Apt 1027
Las Vegas, NV 89121-7920
Phone (702) 589-1398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0189 | Medicaid | NV |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceful Touch, LLC | Past | Accepting new patients | |
| Graceful Touch | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Las Vegas, NV
- NPI 1891093621
-
- Home Health Agency
- Las Vegas, NV
- NPI 1538546635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1215592605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4640 VEGAS VALLEY DR APT 1027",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891217920",
"telephone_number": "702-589-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N RAINBOW BLVD STE 28",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071189",
"telephone_number": "702-293-3888",
"fax_number": "702-293-3664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "LOURDES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-01",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0189",
"state": "NV"
}
],
"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 May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.