NPIMap

Organization Active NPI

KSM Corporate Holdings LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1386071397
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1016002025-001 Issued in NV
Legal business name
KSM CORPORATE HOLDINGS LLC
Practice address
9430 W Lake Mead Blvd
Suite 3
Las Vegas, NV 89134-8338
Phone
(709) 998-2118
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Mr. Kevin Michael McManus
Title
Onwer
Phone
(702) 497-7112

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X
Durable Medical Equipment & Medical Supplies 332B00000X 1016002025-001 NV Primary
Customized Equipment (DME) 332BC3200X 1016002025-001 NV

Addresses

Primary practice location

9430 W Lake Mead Blvd
Suite 3
Las Vegas, NV 89134-8338

Mailing address

9430 W Lake Mead Blvd
Suite 3
Las Vegas, NV 89134-8338
Phone (709) 998-2118

Other names 1

  • Nevada Mobility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
KSM Corporate Holdings2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9430 W Lake Mead Blvd
Ste 3
Las Vegas, NV 89134
Phone (702) 998-2118

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1386071397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 W LAKE MEAD BLVD",
            "address_2": "SUITE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348338",
            "telephone_number": "709-998-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 W LAKE MEAD BLVD",
            "address_2": "SUITE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348338",
            "telephone_number": "709-998-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSM CORPORATE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "702-497-7112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "1016002025-001",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NV",
            "license": "1016002025-001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 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.