Individual provider Active NPI

Hector Querubin

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1427657196
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
5400 S Maryland Pkwy Apt 165
Las Vegas, NV 89119-2642
Phone
(702) 517-1041
NPI assigned
Oct 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

5400 S Maryland Pkwy Apt 165
Las Vegas, NV 89119-2642

Mailing address

2770 S Maryland Pkwy Ste 205B
Las Vegas, NV 89109-1565
Phone (725) 206-5714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Life Home Health Services Inc Personal Care Attendant CurrentSince Oct 25, 2020 Accepting new patients

Locations

2770 S Maryland Pkwy
Ste 205B
Las Vegas, NV 89109
Phone (725) 206-5714

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1427657196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY STE 205B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091565",
            "telephone_number": "725-206-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S MARYLAND PKWY APT 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192642",
            "telephone_number": "702-517-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERUBIN",
        "first_name": "HECTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 22, 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.