Active NPI
Nancy Kulics
- In Home Supportive Care Agency
- Las Vegas, NV
National Provider Identifier
1245056308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 11666-PCS-1
- Practice address
- 1751 E Desert Inn Rd
Las Vegas, NV 89169-3201 - Phone
- (702) 384-2255
- NPI assigned
- Nov 22, 2024
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 11666-PCS-1 | NV | Primary |
Addresses
Primary practice location
1751 E Desert Inn Rd
Las Vegas, NV 89169-3201
Mailing address
1751 E Desert Inn Rd
Las Vegas, NV 89169-3201
Phone (702) 384-2255
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11666-PCS-1 | NV | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Care LLC | In Home Supportive Care | Current | Accepting new patients |
Locations
1751 E Desert Inn Rd
Las Vegas, NV 89169
Phone (702) 384-2255
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1245056308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 E DESERT INN RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891693201",
"telephone_number": "702-384-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 E DESERT INN RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891693201",
"telephone_number": "702-384-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULICS",
"first_name": "NANCY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-22",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NV",
"license": "11666-PCS-1",
"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 Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.