Accellence Las Vegas

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1000087786 Issued in NV

Legal business name

ACCELLENCE LAS VEGAS

Practice address

4815 W Russell Rd
Ste 4D
Las Vegas, NV 89118-6241

Phone

(702) 740-4138

Fax

(702) 740-4153

NPI assigned

Nov 19, 2012

Organization subpart

Yes

Parent organization

ACCELLENCE RENOAs reported in NPPES

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

Authorized official

Name

John R Howitt, R.R.T, ATP

Title

Manager

Phone

(775) 787-8880

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Accellence Reno Doing business as

Tax ID family

Accellence Reno2 organizations share this tax ID, including this one

Part of

Accellence Reno

Other organizations with this tax ID 1

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

• Accellence Reno

  • Durable Medical Equipment & Medical Supplies
  • Reno, NV
  • NPI 1770681983
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Accellence Reno

  • Durable Medical Equipment & Medical Supplies
  • Reno, NV
  • NPI 1770681983
  NPPES parent name

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1295079978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 N EDISON WAY STE 37",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022352",
            "telephone_number": "775-787-8880",
            "fax_number": "775-352-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 W RUSSELL RD",
            "address_2": "STE 4D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891186241",
            "telephone_number": "702-740-4138",
            "fax_number": "702-740-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELLENCE LAS VEGAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCELLENCE RENO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "HOWITT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-787-8880",
        "authorized_official_credential": "R.R.T, ATP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "1000087786",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": "1000087786",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003316057",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accellence Reno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Las Vegas, NV
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.