Sara Van Wagenen

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

160 E Horizon Dr Ste a
Henderson, NV 89015-7934

Phone

(702) 644-3600

NPI assigned

Mar 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• PTV1, Inc.

  • In Home Supportive Care Agency
  • Henderson, NV
  • NPI 1154492320
  NPD (past)
• PTV1, Inc.

  • In Home Supportive Care Agency
  • Henderson, NV
  • NPI 1730422619
  NPD (past)

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356844609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SUNBURST DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890028334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E HORIZON DR STE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157934",
            "telephone_number": "702-644-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2480 W Horizon Ridge Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890522719",
            "country_code": "US",
            "telephone_number": "702-527-7723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN WAGENEN",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sue Van Haselen, RNFA
• Cheryl Van Meter
• Dillan Van Ness
• Heather Van Ness
• Ny Van Steenkiste
• Van Wagner Immediate Care Center
• Ythu Michael Van
• James Ryan Vanburen, APRN
• Jasmine Cornell Vance
• Jason T Vanlue, DMD

• Personal Care Attendant in Henderson, NV
• Providers in Henderson, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.