Organization Active NPI

National Nuclear Energy Healthcare LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1467120139
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NATIONAL NUCLEAR ENERGY HEALTHCARE LLC
Practice address
9480 S Eastern Ave Ste 272
Las Vegas, NV 89123-8000
Phone
(505) 402-4067
Fax
(505) 436-2294
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Mr. Jared Foutz
Title
Administrator
Phone
(505) 402-4067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9480 S Eastern Ave Ste 272
Las Vegas, NV 89123-8000

Mailing address

2012 San Juan Blvd
Farmington, NM 87401-2220
Phone (505) 402-4067

National Provider Directory

National Provider Directory

Locations

9480 S Eastern Ave
Ste 272
Las Vegas, NV 89123
Phone (505) 402-4067

1050 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 733-3809

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1467120139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 SAN JUAN BLVD",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012220",
            "telephone_number": "505-402-4067",
            "fax_number": "505-436-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 S EASTERN AVE STE 272",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238000",
            "telephone_number": "505-402-4067",
            "fax_number": "505-436-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL NUCLEAR ENERGY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "FOUTZ",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-402-4067",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 May 4, 2022; 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.