NPIMap

Organization Active NPI

Vegas Valley Personal Care

  • Health Maintenance Organization
  • Las Vegas, NV
National Provider Identifier
1457447591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
H1400141B120899 Issued in NV
Legal business name
VEGAS VALLEY PERSONAL CARE
Practice address
5016 Alta Dr
Suite # 1
Las Vegas, NV 89107-3944
Phone
(702) 870-8855
Fax
(702) 870-8857
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ema Gomez -Mitchell
Title
Owner
Phone
(702) 870-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X H1400141B120899 NV Primary

Addresses

Primary practice location

5016 Alta Dr
Suite # 1
Las Vegas, NV 89107-3944

Mailing address

5016 Alta Dr
Suite # 1
Las Vegas, NV 89107-3944
Phone (702) 870-8855

National Provider Directory

National Provider Directory
Tax ID family
Vegas Valley Perosnal Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5016 Alta Dr
Ste 1
Las Vegas, NV 89107
Phone (702) 870-8855

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457447591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 ALTA DR",
            "address_2": "SUITE # 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073944",
            "telephone_number": "702-870-8855",
            "fax_number": "702-870-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 ALTA DR",
            "address_2": "SUITE # 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073944",
            "telephone_number": "702-870-8855",
            "fax_number": "702-870-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS VALLEY PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ -MITCHELL",
        "authorized_official_first_name": "EMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-870-8855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NV",
            "license": "H1400141B120899",
            "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 Aug 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.