Mama Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAMA HOME CARE, LLC

Practice address

1401 Arville St Ste G
Las Vegas, NV 89102-0537

Phone

(702) 738-0515

Fax

(702) 527-7698

NPI assigned

Nov 21, 2023

Organization subpart

No

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

Authorized official

Name

Alexis David Kim

Title

Administrator

Phone

(702) 738-0515

Specialties & licenses 1

Addresses

Tax ID family

Mama Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mama Home Care, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1801773924
  NPD tax ID

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1295500114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ARVILLE ST STE G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020537",
            "telephone_number": "702-738-0515",
            "fax_number": "702-527-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ARVILLE ST STE G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020537",
            "telephone_number": "702-738-0515",
            "fax_number": "702-527-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-738-0515"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Antonio P Malvar
• Malwinder Sidhu MD PC
• Malwinder Sidhu MD PC
• Mam Medical Supply Inc.
• Mama Dukes Healthcare Services LLC
• Mama Home Care, LLC
• Mama Mia Pediatrics, LLC
• Allan Mamaclay
• Sylah Reah Alcantara Mamaclay
• Kelly Andrea Mamakas

• In Home Supportive Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; 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.