Active NPI
WWB Incorporated
- In Home Supportive Care Agency
- Las Vegas, NV
National Provider Identifier
1407196777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 5425PCS5
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9005037013 | Medicaid | NV | |
| 1245301464 | Medicaid | NV |
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Home Health Care
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 1235627969
-
- In Home Supportive Care Agency
- Las Vegas, NV
- NPI 1245301464
-
- In Home Supportive Care Agency
- Las Vegas, NV
- NPI 1801362009
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.