Active NPI
Boulder City Hospital Inc
- Home Health Agency
- Boulder City, NV
National Provider Identifier
1265577985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 515HHA13
- Legal business name
- BOULDER CITY HOSPITAL INC
- Practice address
- 901 Adams Boulevard
Boulder City, NV 89005-2213 - Phone
- (702) 293-4111
- Fax
- (702) 294-5732
- NPI assigned
- Feb 20, 2007
- Organization subpart
- Yes
- Parent organization
- BOULDER CITY HOSPITAL, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Frezewed Belete
- Title
- Controller
- Phone
- (702) 293-4111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 515HHA13 | NV | Primary |
Addresses
Primary practice location
901 Adams Boulevard
Boulder City, NV 89005-2213
Mailing address
901 Adams Boulevard
Boulder City, NV 89005-2213
Phone (702) 293-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002902839 | Medicaid | NV |
Other names 1
- Boulder City Home Health
National Provider Directory
National Provider Directory- Part of
- Boulder City Hospital Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321920000000",
"number": "1265577985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 ADAMS BOULEVARD",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "890052213",
"telephone_number": "702-293-4111",
"fax_number": "702-294-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 ADAMS BOULEVARD",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "890052213",
"telephone_number": "702-293-4111",
"fax_number": "702-294-5732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOULDER CITY HOSPITAL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BOULDER CITY HOSPITAL, INC.",
"enumeration_date": "2007-02-20",
"last_updated": "2011-11-22",
"status": "A",
"authorized_official_last_name": "BELETE",
"authorized_official_first_name": "FREZEWED",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "702-293-4111",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NV",
"license": "515HHA13",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002902839",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Boulder City Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Boulder City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.