The Island Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

NV20091365394 Issued in NV

Legal business name

THE ISLAND HOME CARE

Practice address

4979 San Rafael Ave
Las Vegas, NV 89120-1634

Phone

(702) 269-4918

NPI assigned

Aug 2, 2011

Organization subpart

No

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

Authorized official

Name

Nela Acuna

Title

Secretary

Phone

(702) 300-9053

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1366720898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12031",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891120031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4979 SAN RAFAEL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201634",
            "telephone_number": "702-269-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ISLAND HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "ACUNA",
        "authorized_official_first_name": "NELA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "702-300-9053"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "NV20091365394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.