Individual provider Active NPI

Jean Pierre Prideaux

  • Home Health Aide
  • Las Vegas, NV
National Provider Identifier
1487320412
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
2775 Fremont St # 1008110
Las Vegas, NV 89104-2238
Phone
(702) 686-3372
NPI assigned
Aug 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

2775 Fremont St # 1008110
Las Vegas, NV 89104-2238

Mailing address

528 E Oakey Blvd # 110
Las Vegas, NV 89104-1403
Phone (702) 686-3372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Health Services LLC Home Health Aide CurrentSince Jul 24, 2022 Accepting new patients

Locations

528 E Oakey Blvd
#110
Las Vegas, NV 89104
Phone (702) 686-3372

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1487320412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E OAKEY BLVD # 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041403",
            "telephone_number": "702-686-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 FREMONT ST # 1008110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042238",
            "telephone_number": "702-686-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDEAUX",
        "first_name": "JEAN",
        "middle_name": "PIERRE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "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 Aug 19, 2021; 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.