Active NPI
J Loam Inc
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1295714673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 3688HHA3
- Legal business name
- J LOAM INC
- Practice address
- 2721 E. Russel Road
Las Vegas, NV 89120-2490 - Phone
- (702) 946-6666
- Fax
- (702) 946-6670
- NPI assigned
- Jan 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Isabel D. Tcruz
- Title
- President & C.E.O
- Phone
- (702) 946-6666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 3688HHA3 | NV | Primary |
Addresses
Primary practice location
2721 E. Russel Road
Las Vegas, NV 89120-2490
Mailing address
2721 E. Russell Road
Las Vegas, NV 89120-2490
Phone (702) 946-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100500696 | Medicaid | NV |
Other names 1
- At Home Health Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459814400000",
"number": "1295714673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 E. RUSSELL ROAD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202490",
"telephone_number": "702-946-6666",
"fax_number": "702-946-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 E. RUSSEL ROAD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202490",
"telephone_number": "702-946-6666",
"fax_number": "702-946-6670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J LOAM INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-12",
"last_updated": "2016-04-05",
"status": "A",
"authorized_official_last_name": "TCRUZ",
"authorized_official_first_name": "ISABEL",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT & C.E.O",
"authorized_official_telephone_number": "702-946-6666",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NV",
"license": "3688HHA3",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100500696",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "At Home Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.