NPIMap

Organization Active NPI

JLK Home Care, Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1245964816
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JLK HOME CARE, INC
Doing business as
JLK Health Systems
Practice address
3210 W Charleston Blvd Ste 2NA
Las Vegas, NV 89102-2030
Phone
(702) 893-8001
Fax
(702) 369-3334
NPI assigned
Jul 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Mrs. Kate Parker
Title
Administrator
Phone
(702) 893-2001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3210 W Charleston Blvd Ste 2NA
Las Vegas, NV 89102-2030

Mailing address

3210 W Charleston Blvd Ste 2NA
Las Vegas, NV 89102-2030
Phone (702) 234-8191

Other names 1

  • JLK Health Systems Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@evolvelifedreamkids.com

National Provider Directory

National Provider Directory
Tax ID family
JLK Health Systems5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1245964816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 W CHARLESTON BLVD STE 2NA",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022030",
            "telephone_number": "702-234-8191",
            "fax_number": "702-369-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 W CHARLESTON BLVD STE 2NA",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022030",
            "telephone_number": "702-893-8001",
            "fax_number": "702-369-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLK HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-893-2001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@evolvelifedreamkids.com",
            "affiliation": "N",
            "address_1": "3210 W Charleston Blvd Ste 2Na",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891022030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JLK Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 31, 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.