NPIMap

Organization Active NPI

Health to Nevada, LLC

  • In Home Supportive Care Agency
  • N Las Vegas, NV
National Provider Identifier
1528414331
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
8302PCS-0 Issued in NV
Legal business name
HEALTH TO NEVADA, LLC
Practice address
4346 Crimson Tide Ave
N Las Vegas, NV 89031-0446
Phone
(702) 405-8392
Fax
(702) 489-3013
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Tyler M Bannister
Title
Owner/Ceo
Phone
(775) 772-7551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8302PCS-0 NV
In Home Supportive Care Agency 253Z00000X 8302PCS-0 NV Primary

Addresses

Primary practice location

4346 Crimson Tide Ave
N Las Vegas, NV 89031-0446

Mailing address

4346 Crimson Tide Ave
N Las Vegas, NV 89031-0446
Phone (702) 405-8392

Other identifiers 2

IdentifierTypeStateIssuer
1619336864OtherNVNPI - PROVIDER TYPE 58
1568850204OtherNVNPI - PROVIDER TYPE 30

Other names 1

  • Health to You Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health to Nevada LLC4 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": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1528414331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4346 CRIMSON TIDE AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890310446",
            "telephone_number": "702-405-8392",
            "fax_number": "702-489-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4346 CRIMSON TIDE AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890310446",
            "telephone_number": "702-405-8392",
            "fax_number": "702-489-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH TO NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "775-772-7551"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "8302PCS-0",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "8302PCS-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - PROVIDER TYPE 58",
            "identifier": "1619336864",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - PROVIDER TYPE 30",
            "identifier": "1568850204",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health to You",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.