NPIMap

Organization Active NPI

Southern Comfort Pca

  • Home Health Agency
  • North Las Vegas, NV
National Provider Identifier
1376939660
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHERN COMFORT PCA
Practice address
3925 W Cheyenne Ave Ste 401
North Las Vegas, NV 89032-3495
Phone
(702) 868-2901
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Shameika Amin
Title
Adminstrator
Phone
(702) 868-2901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3925 W Cheyenne Ave Ste 401
North Las Vegas, NV 89032-3495

Mailing address

3925 W Cheyenne Ave Ste 401
North Las Vegas, NV 89032-3495

National Provider Directory

National Provider Directory
Tax ID family
Southern Comfort Pca3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1376939660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 W CHEYENNE AVE STE 401",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 W CHEYENNE AVE STE 401",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323495",
            "telephone_number": "702-868-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMFORT PCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SHAMEIKA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "702-868-2901"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.