Active NPI
Nevada Personal Care Services Inc
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1386903763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7417PCO-5
- Legal business name
- NEVADA PERSONAL CARE SERVICES INC
- Practice address
- 6615 S Eastern Ave Ste 104
Las Vegas, NV 89119 - Phone
- (907) 727-4090
- Fax
- (702) 722-6202
- NPI assigned
- May 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ganiyu Shittu
- Title
- President
- Phone
- (907) 727-4090
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7417PCO-5 | NV | Primary |
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
6615 S Eastern Ave Ste 104
Las Vegas, NV 89119
Mailing address
PO Box 211706
Anchorage, AK 99521-1706
Phone (907) 727-4090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7417PCO-5 | Medicaid | NV |
National Provider Directory
National Provider Directory- Tax ID family
- Nevada Personal Care Services Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Las Vegas, NV
- NPI 1124497292
-
- Home Health Agency
- Las Vegas, NV
- NPI 1548507353
-
- Home Health Agency
- Las Vegas, NV
- NPI 1780010918
Locations
6615 S Eastern Ave
Ste 104
Las Vegas, NV 89119
Phone (702) 722-6200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1386903763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211706",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995211706",
"telephone_number": "907-727-4090",
"fax_number": "907-337-2079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6615 S EASTERN AVE STE 104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89119",
"telephone_number": "907-727-4090",
"fax_number": "702-722-6202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEVADA PERSONAL CARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-07",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "SHITTU",
"authorized_official_first_name": "GANIYU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "907-727-4090"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NV",
"license": "7417PCO-5",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7417PCO-5",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
- Nevada Partnership for Homeless Youth
- Nevada Pca, LLC.
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- Nevada Peripheral Nerve Institute
- Nevada Personal Care Services Inc
- Nevada Personal Care Services Inc
- Nevada Personal Care Services Inc
- Nevada Physician Specialists Toy
- Nevada Physicians Ipa Ahmad Akbar PLLC
- Nevada Physicians Specialists Toy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.