Oath Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OATH HEALTHCARE LLC

Practice address

4547 Dover Straight St
Las Vegas, NV 89115-2109

Phone

(702) 831-2223

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Deonna McReynolds

Title

Owner

Phone

(702) 831-2223

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1376157495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4547 DOVER STRAIGHT ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891152109",
            "telephone_number": "702-831-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4547 DOVER STRAIGHT ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891152109",
            "telephone_number": "702-831-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OATH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "MCREYNOLDS",
        "authorized_official_first_name": "DEONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-831-2223"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID",
            "identifier": "1405303547",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deonna@oathhealthcare.com",
            "affiliation": "N",
            "address_1": "4547 Dover Straight St",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891152109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.