Individual provider Active NPI

Danitza Profaca

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1588272017
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
3210 W Charleston Blvd Ste 2
Las Vegas, NV 89102-0080
Phone
(702) 893-2001
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X
Personal Care Attendant 3747P1801X Primary
Attendant Care Provider 3747A0650X

Addresses

Primary practice location

3210 W Charleston Blvd Ste 2
Las Vegas, NV 89102-0080

Mailing address

3210 W Charleston Blvd Ste 2
Las Vegas, NV 89102-0080
Phone (702) 893-2001

Other practice location 1

4955 S Durango Dr Ste 120
Las Vegas, NV 89113-1054
Phone (702) 871-2273

Other identifiers 1

IdentifierTypeStateIssuer
1111111111MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CLEAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1588272017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 W CHARLESTON BLVD STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020080",
            "telephone_number": "702-893-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 W CHARLESTON BLVD STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020080",
            "telephone_number": "702-893-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4955 S Durango Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891131054",
            "country_code": "US",
            "telephone_number": "702-871-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROFACA",
        "first_name": "DANITZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111111111",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CLEAR",
            "affiliation": "N",
            "address_1": "3210 W Charleston Blvd Ste 2",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891020080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 29, 2025; 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.