Stateserv Homecare LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STATESERV HOMECARE LLC

Practice address

6185 S. Valley View Blvd.
Las Vegas, NV 89118

Phone

(877) 633-7250

Fax

(866) 280-0415

NPI assigned

Sep 21, 2007

Last updated

Apr 3, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

THE STATESERV COMPANIES LLCAs reported in NPPES

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

Authorized official

Name

Christopher Roode

Title

Coo

Phone

(877) 633-7250

Specialties & licenses 2

Addresses

Other names 1

• StateServ Medical LLC Other name

Locations

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1437345519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S. ALMA SCHOOL ROAD",
            "address_2": "SUITE 4000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-966-9730",
            "fax_number": "866-280-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6185 S. VALLEY VIEW BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "877-633-7250",
            "fax_number": "866-280-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESERV HOMECARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE STATESERV COMPANIES LLC",
        "enumeration_date": "2007-09-21",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "ROODE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-633-7250"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StateServ Medical LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "StateServ Medical LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• State of Nevada - Sncas Psych (SNCAS Psych Services)
• State of Nevada Desert Regional Center
• Barbara Jean State, LADC
• Deborha Lynn Staten, D.M.D.
• Inez NMN Staten
• Lormeshia Kay Staton
• Michael Staton, MD
• Tiffany Nicole Stattman
• Kimberly Statum, REGISTED NURSE
• Stephanie Staub, MS ED

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.