Individual provider Active NPI

Patrice Harris

  • Home Health Aide
  • North Las Vegas, NV
National Provider Identifier
1427689728
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
9673-PCS-0 Issued in NV
Practice address
3560 W Cheyenne Ave Ste 130
North Las Vegas, NV 89032-8261
Phone
(702) 931-1003
Fax
(702) 931-9274
NPI assigned
Jan 27, 2020
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 9673-PCS-0 NV Primary

Addresses

Primary practice location

3560 W Cheyenne Ave Ste 130
North Las Vegas, NV 89032-8261

Mailing address

3220 Crescendo St
Las Vegas, NV 89129-6173
Phone (702) 931-1003

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

State licenses

LicenseStateTypeSpecialty
9673-PCS-0NVMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Shiloh Helping Hands, LLP CurrentSince Feb 2, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1427689728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 CRESCENDO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296173",
            "telephone_number": "702-931-1003",
            "fax_number": "702-931-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 W CHEYENNE AVE STE 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328261",
            "telephone_number": "702-931-1003",
            "fax_number": "702-931-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NV",
            "license": "9673-PCS-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.