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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.