Organization Active NPI

Home Bound Healthcare Nevada, Inc.

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1326280439
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5607HHA-0 Issued in NV
Legal business name
HOME BOUND HEALTHCARE NEVADA, INC.
Practice address
1350 S Jones Blvd
Suite 240
Las Vegas, NV 89146-1206
Phone
(702) 433-0800
Fax
(702) 433-0801
NPI assigned
Apr 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Mr. Jeffrey Kalkowski
Title
Administrator
Phone
(702) 433-0800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5607HHA-0 NV Primary
Clinical Medical Laboratory 291U00000X 29D1097507 NV

Addresses

Primary practice location

1350 S Jones Blvd
Suite 240
Las Vegas, NV 89146-1206

Mailing address

1350 S Jones Blvd
Suite 240
Las Vegas, NV 89146-1206
Phone (702) 433-0800

National Provider Directory

National Provider Directory

Locations

1350 S Jones Blvd
Ste 240
Las Vegas, NV 89146
Phone (702) 433-0800

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1326280439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S JONES BLVD",
            "address_2": "SUITE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461206",
            "telephone_number": "702-433-0800",
            "fax_number": "702-433-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S JONES BLVD",
            "address_2": "SUITE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461206",
            "telephone_number": "702-433-0800",
            "fax_number": "702-433-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BOUND HEALTHCARE NEVADA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "KALKOWSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-433-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "5607HHA-0",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "29D1097507",
            "primary": false
        }
    ],
    "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 Apr 21, 2010; 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.