Organization Active NPI

Angelic Hands

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1467703686
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2001636-320 Issued in NV
Legal business name
ANGELIC HANDS
Practice address
4525 S Sandhill Rd Ste 115
Las Vegas, NV 89121-5956
Phone
(702) 547-9972
Fax
(702) 547-9974
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Ms. Tara Lyn Romero, BA
Title
Owner
Phone
(702) 727-9585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2001636-320 NV Primary

Addresses

Primary practice location

4525 S Sandhill Rd Ste 115
Las Vegas, NV 89121-5956

Mailing address

4525 S Sandhill Rd Ste 115
Las Vegas, NV 89121-5956
Phone (702) 547-9972

Other identifiers 1

IdentifierTypeStateIssuer
000MedicaidNV

National Provider Directory

National Provider Directory

Locations

4525 S Sandhill Rd
Ste 115
Las Vegas, NV 89121
Phone (702) 547-9972

Practitioners & affiliated clinicians

Practitioners 3

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": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1467703686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 S SANDHILL RD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215956",
            "telephone_number": "702-547-9972",
            "fax_number": "702-547-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 S SANDHILL RD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215956",
            "telephone_number": "702-547-9972",
            "fax_number": "702-547-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC HANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-727-9585",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "2001636-320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000",
            "state": "NV"
        }
    ],
    "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 Sep 27, 2012; 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.