Home by Jackie

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HOME BY JACKIE

Practice address

4483 W Reno Ave
Las Vegas, NV 89118-1527

Phone

(702) 912-7888

NPI assigned

Mar 29, 2023

Last updated

Mar 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanessa Wynii Ow

Title

Operations Manager

Phone

(702) 769-5152

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1215631650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4483 W RENO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181527",
            "telephone_number": "702-912-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4483 W RENO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181527",
            "telephone_number": "702-912-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BY JACKIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "OW",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "WYNII",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "702-769-5152"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Bound Healthcare Nevada, Inc.
• Home Care Assistance Las Vegas, LLC
• Home Care by M&D, LLC
• Home Care of Nevada
• Home Care Professionals
• Home Comforts

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.