Active NPI
Elsube LLC
Doing business as San Antonio Personal Care
- Day Training/Habilitation Specialist
- Nort Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- License
- 20121700531
- Legal business name
- ELSUBE LLC
- Doing business as
- San Antonio Personal Care
- Practice address
- 4132 Solar System St.
Nort Las Vegas, NV 89032-0753 - Phone
- (702) 619-1859
- Fax
- (702) 463-0104
- NPI assigned
- Aug 14, 2015
- Last updated
- Aug 14, 2015
- 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. Elodia Maynard
- Title
- Manager
- Phone
- (702) 643-1552
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | 20121700531 | NV | Primary |
Addresses
Primary practice location
4132 Solar System St.
Nort Las Vegas, NV 89032-0753
Mailing address
417 Foxvale Ave.
North Las Vegas, NV 89032-6150
Phone (702) 643-1552
Other names 1
- San Antonio Personal Care
National Provider Directory
National Provider Directory- Tax ID family
- Elsube LLC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba San Antonio Personal Care
- PACE Provider Organization
- Nort Las Vegas, NV
- NPI 1265808190
-
dba San Antonio Personal Care
- Community Based Hospice Care Agency
- Nort Las Vegas, NV
- NPI 1447626379
-
dba San Antonio Personal Care
- In Home Supportive Care Agency
- North Las Vegas, NV
- NPI 1609243096
-
dba San Antonio Personal Care
- In Home Supportive Care Agency
- North Las Vegas, NV
- NPI 1730887860
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Personal Care Attendant
- North Las Vegas, NV
- NPI 1073013835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439510400000",
"number": "1346616273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 FOXVALE AVE.",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890326150",
"telephone_number": "702-643-1552",
"fax_number": "702-463-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4132 SOLAR SYSTEM ST.",
"city": "NORT LAS VEGAS",
"state": "NV",
"postal_code": "890320753",
"telephone_number": "702-619-1859",
"fax_number": "702-463-0104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELSUBE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A",
"authorized_official_last_name": "MAYNARD",
"authorized_official_first_name": "ELODIA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "702-643-1552",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "NV",
"license": "20121700531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "San Antonio Personal Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Nort Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.