Active NPI
Elite Senior Care Inc
- Home Health Aide
- Las Vegas, NV
National Provider Identifier
1265614085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- ELITE SENIOR CARE INC
- Practice address
- 3288 E Russell Rd
Las Vegas, NV 89120 - Phone
- (702) 898-1148
- Fax
- (702) 898-1165
- NPI assigned
- Dec 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Lew Phillips
- Title
- Owner Operator Elite Senior Care in
- Phone
- (702) 898-1148
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
3288 E Russell Rd
Las Vegas, NV 89120
Mailing address
3288 E Russell Rd
Las Vegas, NV 89120
Phone (702) 898-1148
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196726400000",
"number": "1265614085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3288 E RUSSELL RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89120",
"telephone_number": "702-898-1148",
"fax_number": "702-898-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3288 E RUSSELL RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89120",
"telephone_number": "702-898-1148",
"fax_number": "702-898-1165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE SENIOR CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-04",
"last_updated": "2007-12-04",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "LEW",
"authorized_official_title_or_position": "OWNER OPERATOR ELITE SENIOR CARE IN",
"authorized_official_telephone_number": "702-898-1148"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"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 Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.