Organization Active NPI

Eldercare Services LV LLC

  • Exclusive Provider Organization
  • Las Vegas, NV
National Provider Identifier
1306242359
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
ELDERCARE SERVICES LV LLC
Practice address
4324 Thunder Twice St
Las Vegas, NV 89129-6071
Phone
(702) 396-1030
Fax
(702) 395-5377
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Miss Maisie Mariel Quintos Pastrano
Title
Owner/Manager
Phone
(702) 480-9006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

4324 Thunder Twice St
Las Vegas, NV 89129-6071

Mailing address

4324 Thunder Twice St
Las Vegas, NV 89129-6071
Phone (702) 396-1030

National Provider Directory

National Provider Directory
Tax ID family
Eldercare Services LV LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1306242359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 THUNDER TWICE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296071",
            "telephone_number": "702-396-1030",
            "fax_number": "702-395-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 THUNDER TWICE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296071",
            "telephone_number": "702-396-1030",
            "fax_number": "702-395-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE SERVICES LV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "PASTRANO",
        "authorized_official_first_name": "MAISIE MARIEL",
        "authorized_official_middle_name": "QUINTOS",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "702-480-9006",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 18, 2014; 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.