Organization Active NPI

St Marys Home Health Care Inc

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1245612688
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1306061080 Issued in NV
Legal business name
ST MARYS HOME HEALTH CARE INC
Practice address
8945 W Post Rd
Suite 100
Las Vegas, NV 89148-2431
Phone
(702) 248-6900
Fax
(702) 258-7301
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Angelita Baluyut, M.D.
Title
Administrator
Phone
(702) 248-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1306061080 NV Primary

Addresses

Primary practice location

8945 W Post Rd
Suite 100
Las Vegas, NV 89148-2431

Mailing address

8945 W Post Rd
Suite 100
Las Vegas, NV 89148-2431
Phone (702) 248-6900

Other identifiers 1

IdentifierTypeStateIssuer
1306061080MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
St Mary's Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8945 W Post Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 248-6900

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1245612688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 W POST RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482431",
            "telephone_number": "702-248-6900",
            "fax_number": "702-258-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 W POST RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482431",
            "telephone_number": "702-248-6900",
            "fax_number": "702-258-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "BALUYUT",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-248-6900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "1306061080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306061080",
            "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 Jun 22, 2015; 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.