Vegas Senior Home Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VEGAS SENIOR HOME CARE LLC

Doing business as

Vegas Senior Home Care

Practice address

1130 Sharon Rd
Las Vegas, NV 89106-2036

Phone

(702) 738-0514

Fax

(702) 527-7698

NPI assigned

Sep 10, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Myong Wook Kim

Title

Owner

Phone

(702) 738-0514

Specialties & licenses 2

Addresses

Other names 1

• Vegas Senior Home Care Doing business as

Locations

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1578046132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ARVILLE ST STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020537",
            "telephone_number": "702-738-0844",
            "fax_number": "702-527-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SHARON RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062036",
            "telephone_number": "702-738-0514",
            "fax_number": "702-527-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS SENIOR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MYONG",
        "authorized_official_middle_name": "WOOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-738-0514",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vegas Senior Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.