NPIMap

Organization Active NPI

Prime Homecare Agency LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1609521616
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRIME HOMECARE AGENCY LLC
Practice address
8938 Sanibel Shore Ave
Las Vegas, NV 89147-6566
Phone
(702) 601-5395
NPI assigned
Feb 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Melissa Morel
Title
Owner/Vice President
Phone
(702) 601-5395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8938 Sanibel Shore Ave
Las Vegas, NV 89147-6566

Mailing address

8938 Sanibel Shore Ave
Las Vegas, NV 89147-6566
Phone (702) 601-5395

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1609521616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8938 SANIBEL SHORE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476566",
            "telephone_number": "702-601-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8938 SANIBEL SHORE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476566",
            "telephone_number": "702-601-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "MOREL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "702-601-5395"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Feb 17, 2022; 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.