Nellis Home Health

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

E0308632016-8 Issued in NV

Legal business name

NELLIS HOME HEALTH

Practice address

455 E Twain Ave # 103
Las Vegas, NV 89169-4928

Phone

(702) 401-1121

Fax

(702) 733-2897

NPI assigned

Apr 24, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Roseanne Wright Jones, M.D.

Title

President/Owner

Phone

(702) 401-1121

Specialties & licenses 15

Addresses

Locations

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1366977696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E TWAIN AVE # 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694928",
            "telephone_number": "702-401-1121",
            "fax_number": "702-733-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E TWAIN AVE # 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694928",
            "telephone_number": "702-401-1121",
            "fax_number": "702-733-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLIS HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "702-401-1121",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "2865X1600X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NV",
            "license": "E0308632016-8",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mae Suma Nekoba, MSN, AGACNP-BC, APRN
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• Nellis Home Health
• Gabriella Marie Nellis, RBT
• Ajay K. Nellutla, M.D.
• Dejahnae Lanae Nelms
• Todd Nelms
• Alyse Nelsen, DO

• Case Manager/Care Coordinator in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.