NPIMap

Organization Active NPI

Nyells Medical and Professional Services

  • In Home Supportive Care Agency
  • North Las Vegas, NV
National Provider Identifier
1407151830
Registry record updated Jan 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
91545 Issued in NV
Legal business name
NYELLS MEDICAL AND PROFESSIONAL SERVICES
Practice address
4701 Lawrence St Unit 1138
North Las Vegas, NV 89081-4200
Phone
(702) 538-8263
NPI assigned
Jan 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2011

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

Authorized official

Name
Jacqueline Celess Edwards, LAB ASSISTANT/CNA/MA
Title
Owner
Phone
(702) 538-8263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 91545 NV Primary

Addresses

Primary practice location

4701 Lawrence St Unit 1138
North Las Vegas, NV 89081-4200

Mailing address

4701 Lawrence St Unit 1138
North Las Vegas, NV 89081-4200
Phone (702) 538-8263

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295049600000",
    "number": "1407151830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 LAWRENCE ST UNIT 1138",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814200",
            "telephone_number": "702-538-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 LAWRENCE ST UNIT 1138",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814200",
            "telephone_number": "702-538-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYELLS MEDICAL AND PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-15",
        "last_updated": "2011-01-15",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "CELESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-538-8263",
        "authorized_official_credential": "LAB ASSISTANT/CNA/MA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "91545",
            "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 Jan 15, 2011; 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.