Organization Active NPI

Nevada Care LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1548801210
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NEVADA CARE LLC
Doing business as
Nevada Home & Personal Care
Practice address
5160 S Eastern Ave Ste a
Las Vegas, NV 89119-2300
Phone
(702) 540-9700
NPI assigned
Oct 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Clevonne Funches
Title
Director
Phone
(702) 540-9700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

5160 S Eastern Ave Ste a
Las Vegas, NV 89119-2300

Mailing address

5160 S Eastern Ave Ste a
Las Vegas, NV 89119-2300
Phone (702) 540-9700

Other names 1

  • Nevada Home & Personal Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address personalcare@nevadacarenv.org Nevada Care LLC

National Provider Directory

National Provider Directory
Tax ID family
Nevada Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1548801210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 S EASTERN AVE STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192300",
            "telephone_number": "702-540-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 S EASTERN AVE STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192300",
            "telephone_number": "702-540-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "FUNCHES",
        "authorized_official_first_name": "CLEVONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-540-9700"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "personalcare@nevadacarenv.org",
            "affiliation": "Y",
            "affiliationName": "Nevada Care LLC",
            "address_1": "5160 S Eastern Ave Ste A",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891192300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nevada Home & Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2023; 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.