Active NPI
Danilo Bautista
- Personal Care Attendant
- Las Vegas, NV
National Provider Identifier
1487478269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 10473 Saddle Mountain St
Las Vegas, NV 89178-6536 - Phone
- (702) 588-4522
- NPI assigned
- Nov 8, 2024
- Last updated
- Nov 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NU | Primary |
Addresses
Primary practice location
10473 Saddle Mountain St
Las Vegas, NV 89178-6536
Mailing address
2980 S Rainbow Blvd Ste 110-C
Las Vegas, NV 89146-6531
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amazing Angel Home Care LLC | Personal Care Attendant | Current | Accepting new patients |
Locations
2980 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 580-0012
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1487478269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 S RAINBOW BLVD STE 110-C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10473 SADDLE MOUNTAIN ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891786536",
"telephone_number": "702-588-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "DANILO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"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 Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.