Individual provider Active NPI

Felicidad C. Cacacho

  • Home Health Aide
  • Las Vegas, NV
National Provider Identifier
1225538556
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
4850 W Flamingo Rd Ste 25
Las Vegas, NV 89103-3707
Phone
(702) 871-9918
Fax
(702) 871-9918
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X NV Primary

Addresses

Primary practice location

4850 W Flamingo Rd Ste 25
Las Vegas, NV 89103-3707

Mailing address

4850 W Flamingo Rd Ste 25
Las Vegas, NV 89103-3707
Phone (702) 871-9917

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

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1225538556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W FLAMINGO RD STE 25",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033707",
            "telephone_number": "702-871-9917",
            "fax_number": "702-871-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W FLAMINGO RD STE 25",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033707",
            "telephone_number": "702-871-9918",
            "fax_number": "702-871-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACACHO",
        "first_name": "FELICIDAD",
        "middle_name": "C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 13, 2018; 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.