Organization Active NPI

Servant's Heart Community Care Services LLC

Doing business as Servant's Heart Community Care Services

  • Adult Care Home Facility
  • North Las Vegas, NV
National Provider Identifier
1275370918
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SERVANT'S HEART COMMUNITY CARE SERVICES LLC
Doing business as
Servant's Heart Community Care Services
Practice address
539 Terrace Point Dr
North Las Vegas, NV 89032-1166
Phone
(702) 800-9839
Fax
(702) 399-1827
NPI assigned
Jul 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Mr. Ellery Aaron Rayford
Title
Ceo
Phone
(702) 800-9839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

539 Terrace Point Dr
North Las Vegas, NV 89032-1166

Mailing address

5550 Painted Mirage Rd Ste 320
Las Vegas, NV 89149-4584
Phone (702) 800-9839

Other names 1

  • Servant's Heart Community Care Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1275370918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 PAINTED MIRAGE RD STE 320",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494584",
            "telephone_number": "702-800-9839",
            "fax_number": "702-399-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 TERRACE POINT DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890321166",
            "telephone_number": "702-800-9839",
            "fax_number": "702-399-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT'S HEART COMMUNITY CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "RAYFORD",
        "authorized_official_first_name": "ELLERY",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-800-9839",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Servant's Heart Community Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.