Organization Active NPI

Golden Cross Home Care, LLC.

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1386903599
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
NV20121287262 Issued in NV
Legal business name
GOLDEN CROSS HOME CARE, LLC.
Practice address
7762 W Sahara Ave
Las Vegas, NV 89117-2700
Phone
(702) 353-1542
Fax
(702) 258-1908
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Raffi A. Pogosyan
Title
Manager / Owner
Phone
(702) 353-1542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NV20121287262 NV Primary

Addresses

Primary practice location

7762 W Sahara Ave
Las Vegas, NV 89117-2700

Mailing address

417 Warmside Dr.
Las Vegas, NV 89145
Phone (702) 353-1542

Other identifiers 1

IdentifierTypeStateIssuer
100510996MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Golden Cross Home Care LLC3 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": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1386903599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 WARMSIDE DR.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89145",
            "telephone_number": "702-353-1542",
            "fax_number": "702-258-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7762 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172700",
            "telephone_number": "702-353-1542",
            "fax_number": "702-258-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CROSS HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "POGOSYAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER / OWNER",
        "authorized_official_telephone_number": "702-353-1542"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "NV20121287262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510996",
            "state": "NV"
        }
    ],
    "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 May 8, 2012; 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.