Active NPI
I Care Assistance Living Services LLC
- In Home Supportive Care Agency
- N Las Vegas, NV
National Provider Identifier
1467154856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.