Individual provider Active NPI

Joanna Armenta- Perez

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1356767156
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
7543AGC-1 Issued in NV
Practice address
5559 Trooper St
Las Vegas, NV 89120-2232
Phone
(702) 547-1663
NPI assigned
Mar 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 7543AGC-1 NV Primary

Addresses

Primary practice location

5559 Trooper St
Las Vegas, NV 89120-2232

Mailing address

4121 Oak Bay Way
North Las Vegas, NV 89032-0538
Phone (702) 416-0307

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

State licenses

LicenseStateTypeSpecialty
7543AGC-1NVMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Home LLC 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": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1356767156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 OAK BAY WAY",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320538",
            "telephone_number": "702-416-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5559 TROOPER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202232",
            "telephone_number": "702-547-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENTA- PEREZ",
        "first_name": "JOANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": "7543AGC-1",
            "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 Mar 17, 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.