Organization Active NPI

Western Home Care, LLC

  • Oxygen Equipment & Supplies (DME)
  • Las Vegas, NV
National Provider Identifier
1407814064
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
MP00196 Issued in NV
Legal business name
WESTERN HOME CARE, LLC
Practice address
4035 E Post Rd
Las Vegas, NV 89120-3992
Phone
(702) 914-7337
Fax
(702) 914-7304
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Mr. Jason Allen Smidt
Title
Coo
Phone
(602) 252-5000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PH02658 NV
Oxygen Equipment & Supplies (DME) 332BX2000X MP00196 NV Primary
Home Infusion Therapy Pharmacy 3336H0001X PH02658 NV

Addresses

Primary practice location

4035 E Post Rd
Las Vegas, NV 89120-3992

Mailing address

1626 S Edward Dr
Tempe, AZ 85281-6200
Phone (602) 252-5000

Other identifiers 1

IdentifierTypeStateIssuer
100504717MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1407814064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 S EDWARD DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816200",
            "telephone_number": "602-252-5000",
            "fax_number": "602-323-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 E POST RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203992",
            "telephone_number": "702-914-7337",
            "fax_number": "702-914-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "SMIDT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-252-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NV",
            "license": "PH02658",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": "MP00196",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NV",
            "license": "PH02658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504717",
            "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 Dec 1, 2010; 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.