Active NPI
Western Home Care, LLC
- Oxygen Equipment & Supplies (DME)
- Las Vegas, NV
National Provider Identifier
1407814064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- MP00196
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100504717 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI 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
- Alex Westerman
- Western Critical Care Associates
- Western Desert Transportation LLC
- Western Home Care
- Western Home Care LLC
- Western Medical Transportation LLC
- Western State Behavioral Health and Psychiatric Services, Inc (Western State Behavioral Health and Psychiatric Services)
- Western State Pain Institute
- Ariana Westfall, M.S. MFT-I
- Leslie Marie Westfield Baxter, PHD
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.