Organization Active NPI

Amigo Personal Care

  • Health Maintenance Organization
  • Las Vegas, NV
National Provider Identifier
1598851644
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
H1496422F128570 Issued in NV
Legal business name
AMIGO PERSONAL CARE
Practice address
5017 Alta Dr
Las Vegas, NV 89107-3937
Phone
(702) 878-4020
Fax
(702) 878-4030
NPI assigned
Oct 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Virgen Rodriquez
Title
Owner
Phone
(702) 878-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X H1496422F128570 NV Primary

Addresses

Primary practice location

5017 Alta Dr
Las Vegas, NV 89107-3937

Mailing address

5017 Alta Dr
Las Vegas, NV 89107-3937
Phone (702) 878-4020

National Provider Directory

National Provider Directory

Locations

5017 Alta Dr
Las Vegas, NV 89107
Phone (702) 816-2595

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598851644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 ALTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073937",
            "telephone_number": "702-878-4020",
            "fax_number": "702-878-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 ALTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073937",
            "telephone_number": "702-878-4020",
            "fax_number": "702-878-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIGO PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIQUEZ",
        "authorized_official_first_name": "VIRGEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-878-4020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NV",
            "license": "H1496422F128570",
            "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 Aug 22, 2020; 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.