NPIMap

Organization Active NPI

At Home Caregivers, LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1235454521
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
5267PCS Issued in NV
Legal business name
AT HOME CAREGIVERS, LLC
Practice address
3017 W Charleston Blvd Ste 12
Las Vegas, NV 89102-1927
Phone
(702) 240-3800
Fax
(702) 240-3001
NPI assigned
Mar 30, 2010
Last updated
Aug 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Mrs. Flordeliza C. Antolik
Title
Administrator
Phone
(702) 240-3800

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 5267PCS NV Primary
Chore ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 372500000X
Attendant Care ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747A0650X
Personal Care AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747P1801X
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X
Respite Care 385H00000X

Addresses

Primary practice location

3017 W Charleston Blvd Ste 12
Las Vegas, NV 89102-1927

Mailing address

3017 W Charleston Blvd Ste 12
Las Vegas, NV 89102-1927
Phone (702) 240-3800

Other practice location 1

2770 S Maryland Pkwy
Suite 310
Las Vegas, NV 89109-1566
Phone (702) 240-3800

Other practice location 2

2770 S Maryland Pkwy
Suite 310
Las Vegas, NV 89109-1566
Phone (702) 240-3800

Other identifiers 4

IdentifierTypeStateIssuer
API#9005041320MedicaidNV
100504937MedicaidNV
API#9005056484MedicaidNV
API#9005054299MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
At Home Caregivers LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2770 S Maryland Pkwy
Ste 310
Las Vegas, NV 89109
Phone (702) 240-3001

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1235454521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 W CHARLESTON BLVD STE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021927",
            "telephone_number": "702-240-3800",
            "fax_number": "702-240-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 W CHARLESTON BLVD STE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021927",
            "telephone_number": "702-240-3800",
            "fax_number": "702-240-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 S Maryland Pkwy",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891091566",
            "country_code": "US",
            "telephone_number": "702-240-3800",
            "fax_number": "702-240-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2770 S Maryland Pkwy",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891091566",
            "country_code": "US",
            "telephone_number": "702-240-3800",
            "fax_number": "702-240-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AT HOME CAREGIVERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "ANTOLIK",
        "authorized_official_first_name": "FLORDELIZA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-240-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "5267PCS",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "API#9005041320",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504937",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "API#9005056484",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "API#9005054299",
            "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 Aug 8, 2022; 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.