NPIMap

Organization Active NPI

San Patricio Homecare LLC

  • Attendant Care Provider
  • Las Vegas, NV
National Provider Identifier
1508526385
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
SAN PATRICIO HOMECARE LLC
Practice address
2810 W Charleston Blvd Ste 83
Las Vegas, NV 89102-1910
Phone
(702) 331-4969
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Monica Shaul
Title
Administrator
Phone
(702) 331-4969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

2810 W Charleston Blvd Ste 83
Las Vegas, NV 89102-1910

Mailing address

2810 W Charleston Blvd Ste 83
Las Vegas, NV 89102-1910

National Provider Directory

National Provider Directory
Tax ID family
San Patricio Homecare LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1508526385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 83",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 83",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021910",
            "telephone_number": "702-331-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PATRICIO HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "SHAUL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-331-4969"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "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 Dec 21, 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.