Individual provider Active NPI

Thomas Melvin Kohnman

  • Foster Care Agency
  • Henderson, NV
National Provider Identifier
1356629190
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Practice address
382 Persian Ave
Henderson, NV 89015-1720
Phone
(702) 992-0576
Fax
(702) 992-0391
NPI assigned
Jul 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

382 Persian Ave
Henderson, NV 89015-1720

Mailing address

8620 S Eastern Ave
#16
Las Vegas, NV 89123-2836
Phone (702) 992-0576

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Grove Treatment Center Foster Care Agency Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1356629190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 S EASTERN AVE",
            "address_2": "#16",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232836",
            "telephone_number": "702-992-0576",
            "fax_number": "702-992-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 PERSIAN AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890151720",
            "telephone_number": "702-992-0576",
            "fax_number": "702-992-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHNMAN",
        "first_name": "THOMAS",
        "middle_name": "MELVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.