Organization Active NPI

Eos Home Care, LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1285033084
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
8063PCS-0 Issued in NV
Legal business name
EOS HOME CARE, LLC
Practice address
2235 E Flamingo Rd Ste 206
Las Vegas, NV 89119-5152
Phone
(702) 885-4454
NPI assigned
Aug 18, 2014
Last updated
Aug 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Mr. Serzh Arakelyan
Title
Owner/Administrator
Phone
(702) 885-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 8063PCS-0 NV Primary

Addresses

Primary practice location

2235 E Flamingo Rd Ste 206
Las Vegas, NV 89119-5152

Mailing address

2235 E. Flamingo Rd. Ste 206
Las Vegas, NV 89119
Phone (702) 885-4454

Other identifiers 1

IdentifierTypeStateIssuer
2235EOSMedicaidNV

National Provider Directory

National Provider Directory

Locations

2235 E Flamingo Rd
Ste 206
Las Vegas, NV 89119
Phone (702) 885-4454

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1285033084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 E. FLAMINGO RD. STE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-885-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E FLAMINGO RD STE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195152",
            "telephone_number": "702-885-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EOS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "ARAKELYAN",
        "authorized_official_first_name": "SERZH",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "702-885-4454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "8063PCS-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2235EOS",
            "state": "NV"
        }
    ],
    "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 Aug 18, 2014; 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.