NPIMap

Organization Active NPI

Care Kingdom Health System LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1457166605
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARE KINGDOM HEALTH SYSTEM LLC
Practice address
732 S 6TH St Ste V
Las Vegas, NV 89101-6948
Phone
(503) 388-1611
NPI assigned
Feb 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Tyesha DeanNPI 1992274773
Title
Owner
Phone
(503) 388-1611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

732 S 6TH St Ste V
Las Vegas, NV 89101-6948

Mailing address

732 S 6TH St Ste V
Las Vegas, NV 89101-6948
Phone (503) 388-1611

Other names 1

  • Clark Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1457166605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 S 6TH ST STE V",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016948",
            "telephone_number": "503-388-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 S 6TH ST STE V",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016948",
            "telephone_number": "503-388-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE KINGDOM HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "TYESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-388-1611"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 3, 2026; 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.