NPIMap

Organization Active NPI

Desert River Pca

  • Home Health Aide
  • Pahrump, NV
National Provider Identifier
1295363232
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
DESERT RIVER PCA
Doing business as
Desert River PCA
Practice address
1890
S Mount Charleston Rd W
Pahrump, NV 89048
Phone
(775) 910-2047
Fax
(949) 577-4501
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Ronaldo Lloyd, EMT
Title
Manager
Phone
(775) 910-2047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1890
S Mount Charleston Rd W
Pahrump, NV 89048

Mailing address

1890
S Mount Charleston Rd W
Pahrump, NV 89048
Phone (775) 910-2047

Other names 1

  • Desert River PCA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1295363232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890",
            "address_2": "S MOUNT CHARLESTON RD W",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "775-910-2047",
            "fax_number": "949-577-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890",
            "address_2": "S MOUNT CHARLESTON RD W",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "775-910-2047",
            "fax_number": "949-577-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT RIVER PCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "RONALDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-910-2047",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert River PCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.