Individual provider Active NPI

Melvin D Thompson

  • Personal Care Attendant
  • North Las Vegas, NV
National Provider Identifier
1275819575
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
3634 Seneca Highland St
North Las Vegas, NV 89032-0494
Phone
(702) 503-8843
NPI assigned
Oct 31, 2011
Reactivated
Feb 27, 2018
Last updated
Nov 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU Primary

Addresses

Primary practice location

3634 Seneca Highland St
North Las Vegas, NV 89032-0494

Mailing address

3634 Seneca Highland
Suite a
North Las Vegas, NV 89032-0494
Phone (702) 503-8843

Other identifiers 1

IdentifierTypeStateIssuer
45-3689144MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Devine Home Health Care LLC PastSince Aug 13, 2023 Accepting new patients
Devine Home Health Care LLC PastSince Jul 24, 2022 Accepting new patients
Devine Home Health Care LLC Personal Care Attendant PastSince Aug 6, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1275819575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 SENECA HIGHLAND",
            "address_2": "SUITE A",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320494",
            "telephone_number": "702-503-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 SENECA HIGHLAND ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320494",
            "telephone_number": "702-503-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MELVIN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2018-11-02",
        "deactivation_date": "2018-02-12",
        "reactivation_date": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45-3689144",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 2, 2018; 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.