Organization Active NPI

I Care Assistance Living Services LLC

  • In Home Supportive Care Agency
  • N Las Vegas, NV
National Provider Identifier
1467154856
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
I CARE ASSISTANCE LIVING SERVICES LLC
Practice address
3694 Blake Canyon Dr
N Las Vegas, NV 89032-0834
Phone
(661) 728-8815
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Donald Sanders
Title
Administrator
Phone
(661) 728-8815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3694 Blake Canyon Dr
N Las Vegas, NV 89032-0834

Mailing address

3694 Blake Canyon Dr
N Las Vegas, NV 89032-0834
Phone (661) 728-8815

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1467154856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3694 BLAKE CANYON DR",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890320834",
            "telephone_number": "661-728-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 BLAKE CANYON DR",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890320834",
            "telephone_number": "661-728-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CARE ASSISTANCE LIVING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-728-8815"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N 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 20, 2023; 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.