Active NPI
Marlisha Goodwin
- Home Health Aide
- Las Vegas, NV
National Provider Identifier
1346990082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 3151 Soaring Gulls Dr Unit 2199
Las Vegas, NV 89128-7046 - Phone
- (702) 472-6847
- NPI assigned
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
3151 Soaring Gulls Dr Unit 2199
Las Vegas, NV 89128-7046
Mailing address
3151 Soaring Gulls Dr Unit 2199
Las Vegas, NV 89128-7046
Phone (702) 472-6847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1605134285 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Lovetolivehomecare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1346990082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 SOARING GULLS DR UNIT 2199",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287046",
"telephone_number": "702-472-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 SOARING GULLS DR UNIT 2199",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287046",
"telephone_number": "702-472-6847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "MARLISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-25",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1605134285",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lovetolivehomecare.com",
"affiliation": "N",
"address_1": "3151 Soaring Gulls Dr Unit 2199",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891287046",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.