NPIMap

Organization Active NPI

Family Tree Health Care Systems Inc

  • Respite Care
  • Las Vegas, NV
National Provider Identifier
1477912665
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
402012E0057 Issued in NV
Legal business name
FAMILY TREE HEALTH CARE SYSTEMS INC
Practice address
3672 N Rancho Dr
Street Is Required
Las Vegas, NV 89130-3149
Phone
(404) 934-3936
NPI assigned
Feb 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Tayo Oshifodunrin
Title
Coo
Phone
(404) 934-3936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 402012E0057 NV Primary

Addresses

Primary practice location

3672 N Rancho Dr
Street Is Required
Las Vegas, NV 89130-3149

Mailing address

3672 N Rancho Dr
Street Is Required
Las Vegas, NV 89130-3149
Phone (404) 934-3936

Other identifiers 1

IdentifierTypeStateIssuer
E0057402016MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Family Tree Health Care Systems Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1477912665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3672 N RANCHO DR",
            "address_2": "STREET IS REQUIRED",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303149",
            "telephone_number": "404-934-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3672 N RANCHO DR",
            "address_2": "STREET IS REQUIRED",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303149",
            "telephone_number": "404-934-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE HEALTH CARE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "OSHIFODUNRIN",
        "authorized_official_first_name": "TAYO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "404-934-3936"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NV",
            "license": "402012E0057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E0057402016",
            "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 Feb 17, 2016; 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.