NPIMap

Organization Active NPI

Mark Taddeo

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1568855237
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
SP-1778 Issued in NV
Legal business name
MARK TADDEO
Practice address
10318 Canvas Canyon CT
Las Vegas, NV 89178-6541
Phone
(702) 277-2523
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Mr. Mark Anthony TaddeoNPI 1053705251
Title
Speech-Language Pathologist
Phone
(702) 277-2523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X SP-1778 NV Primary

Addresses

Primary practice location

10318 Canvas Canyon CT
Las Vegas, NV 89178-6541

Mailing address

10318 Canvas Canyon CT
Las Vegas, NV 89178-6541
Phone (702) 277-2523

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1568855237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10318 CANVAS CANYON CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891786541",
            "telephone_number": "702-277-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10318 CANVAS CANYON CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891786541",
            "telephone_number": "702-277-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK TADDEO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "TADDEO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "702-277-2523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "SP-1778",
            "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 Mar 5, 2015; 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.