Active NPI
Angel Medina
- In Home Supportive Care Agency
- Las Vegas, NV
National Provider Identifier
1376457226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- NV20253409294
- Practice address
- 5901 Flowering Hill CT
Las Vegas, NV 89131-3087 - Phone
- (818) 856-9629
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NV20253409294 | NV | Primary |
Addresses
Primary practice location
5901 Flowering Hill CT
Las Vegas, NV 89131-3087
Mailing address
5901 Flowering Hill CT
Las Vegas, NV 89131-3087
Phone (818) 856-9629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1376457226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 FLOWERING HILL CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891313087",
"telephone_number": "818-856-9629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 FLOWERING HILL CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891313087",
"telephone_number": "818-856-9629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "ANGEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NV",
"license": "NV20253409294",
"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 Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.