NPIMap

Organization Active NPI

LV Personal Care, LTD

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1285106492
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LV PERSONAL CARE, LTD
Practice address
4550 W Oakey Blvd Ste 101a
Las Vegas, NV 89102-1506
Phone
(702) 518-2312
Fax
(702) 514-4189
NPI assigned
Dec 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Mr. John Jonathan Cruz
Title
Administrator
Phone
(702) 405-6811

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

4550 W Oakey Blvd Ste 101a
Las Vegas, NV 89102-1506

Mailing address

4550 W Oakey Blvd Ste 101a
Las Vegas, NV 89102-1506
Phone (702) 518-2312

Other identifiers 1

IdentifierTypeStateIssuer
9291-PCS-0OtherNVSTATE OF NEVADA DPBH LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
LV Personal Care LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1285106492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 W OAKEY BLVD STE 101A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021506",
            "telephone_number": "702-518-2312",
            "fax_number": "702-514-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W OAKEY BLVD STE 101A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021506",
            "telephone_number": "702-518-2312",
            "fax_number": "702-514-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LV PERSONAL CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2021-11-04",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-405-6811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEVADA DPBH LICENSE NUMBER",
            "identifier": "9291-PCS-0",
            "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 Nov 4, 2021; 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.