Organization Active NPI

WWB Incorporated

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1407196777
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
5425PCS5 Issued in NV
Legal business name
WWB INCORPORATED
Practice address
2860 E Flamingo Rd
Suite. C
Las Vegas, NV 89121-5271
Phone
(702) 562-3355
Fax
(702) 369-8284
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Edgar Jimenez
Title
Area Manager
Phone
(702) 273-6658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 5425PCS5 NV Primary

Addresses

Primary practice location

2860 E Flamingo Rd
Suite. C
Las Vegas, NV 89121-5271

Mailing address

2001 S. Jones Blvd
Advanced Home Health Care Suite. K
Las Vegas, NV 89146-3165
Phone (702) 562-3355

Other identifiers 2

IdentifierTypeStateIssuer
9005037013MedicaidNV
1245301464MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Advanced Home Health Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2860 E Flamingo Rd
Ste C
Las Vegas, NV 89121
Phone (702) 562-3355

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1407196777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S. JONES BLVD",
            "address_2": "ADVANCED HOME HEALTH CARE SUITE. K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463165",
            "telephone_number": "702-562-3355",
            "fax_number": "702-369-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 E FLAMINGO RD",
            "address_2": "SUITE. C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215271",
            "telephone_number": "702-562-3355",
            "fax_number": "702-369-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WWB INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "AREA MANAGER",
        "authorized_official_telephone_number": "702-273-6658"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "5425PCS5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005037013",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245301464",
            "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 Feb 25, 2013; 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.