NPIMap

Organization Active NPI

Home Comforts

  • Exclusive Provider Organization
  • Las Vegas, NV
National Provider Identifier
1528216066
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
5626213167 Issued in NV
Legal business name
HOME COMFORTS
Practice address
513 Monticello Dr
Las Vegas, NV 89107-3642
Phone
(702) 813-7825
Fax
(702) 471-0010
NPI assigned
Sep 8, 2008
Last updated
Sep 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Mrs. Jamie Gray
Title
Personal Care Attendant
Phone
(702) 813-7825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 5626213167 NV Primary

Addresses

Primary practice location

513 Monticello Dr
Las Vegas, NV 89107-3642

Mailing address

PO Box 36221
Las Vegas, NV 89133-6221
Phone (702) 813-7825

Other identifiers 1

IdentifierTypeStateIssuer
56262167MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1528216066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36221",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336221",
            "telephone_number": "702-813-7825",
            "fax_number": "702-471-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 MONTICELLO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073642",
            "telephone_number": "702-813-7825",
            "fax_number": "702-471-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME COMFORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PERSONAL CARE ATTENDANT",
        "authorized_official_telephone_number": "702-813-7825",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NV",
            "license": "5626213167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56262167",
            "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 8, 2008; 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.