Organization Active NPI

Frontliners Home Health of Las Vegas,LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1417592221
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FRONTLINERS HOME HEALTH OF LAS VEGAS,LLC
Practice address
7528 Fontera CT
Las Vegas, NV 89139-6310
Phone
(928) 292-9012
NPI assigned
Nov 15, 2019
Last updated
Dec 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Gwendolyn May Herodico
Title
President
Phone
(702) 956-7626

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

7528 Fontera CT
Las Vegas, NV 89139-6310

Mailing address

7528 Fontera CT
Las Vegas, NV 89139-6310

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1417592221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7528 FONTERA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7528 FONTERA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396310",
            "telephone_number": "928-292-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINERS HOME HEALTH OF LAS VEGAS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "HERODICO",
        "authorized_official_first_name": "GWENDOLYN MAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-956-7626"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 8, 2020; 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.