Organization Active NPI

Prestige Home Health Inc

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1265443287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1950HHA9 Issued in NV
Legal business name
PRESTIGE HOME HEALTH INC
Practice address
3690 South Eastern Ave
104
Las Vegas, NV 89109
Phone
(702) 735-4711
Fax
(702) 735-4727
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dorothy Roberts
Title
Administrator Ceo
Phone
(702) 735-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1950HHA9 NV Primary

Addresses

Primary practice location

3690 South Eastern Ave
104
Las Vegas, NV 89109

Mailing address

3690 South Eastern Ave
104
Las Vegas, NV 89109
Phone (702) 735-4711

National Provider Directory

National Provider Directory

Locations

3690 S Eastern Ave
Ste 104
Las Vegas, NV 89169
Phone (702) 735-4711

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265443287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 SOUTH EASTERN AVE",
            "address_2": "104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89109",
            "telephone_number": "702-735-4711",
            "fax_number": "702-735-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 SOUTH EASTERN AVE",
            "address_2": "104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89109",
            "telephone_number": "702-735-4711",
            "fax_number": "702-735-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "ADMINISTRATOR CEO",
        "authorized_official_telephone_number": "702-735-4711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "1950HHA9",
            "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 Aug 22, 2020; 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.