Nellis Home Health

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

License

E03086320168 Issued in NV

Legal business name

NELLIS HOME HEALTH

Practice address

455 E Twain Ave # 103
Las Vegas, NV 89169-4928

Phone

(702) 401-1121

NPI assigned

Nov 9, 2017

Organization subpart

No

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

Authorized official

Name

Miss Roseanne W Jones

Title

Owner

Phone

(702) 401-1121

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nellis Home Health Doing business as

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1295248573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E TWAIN AVE # 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694928",
            "telephone_number": "702-401-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E TWAIN AVE # 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694928",
            "telephone_number": "702-401-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLIS HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-401-1121",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NV",
            "license": "E03086320168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475338570",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nellis Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Yvonne Neiswender
• Mae Suma Nekoba, MSN, AGACNP-BC, APRN
• Riondra Trenaye Nellems
• Nellis Care Pharmacy Inc
• Nellis Chiropractic, Inc.
• Nellis Home Health
• Gabriella Marie Nellis, RBT
• Ajay K. Nellutla, M.D.
• Dejahnae Lanae Nelms
• Todd Nelms

• Lodging Provider in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Lodging Provider in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.