Silver State Personal Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SILVER STATE PERSONAL CARE SERVICES LLC

Practice address

3765 E Sunset Rd Ste B9
Las Vegas, NV 89120-6208

Phone

(866) 586-8722

Fax

(866) 745-2561

NPI assigned

Jan 24, 2024

Last updated

Mar 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Baron Leary MendiolaNPI 1447040688

Title

Ceo

Phone

(702) 806-1456

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Baron Leary Mendiola

  • In Home Supportive Care Agency
  • North Las Vegas, NV
  • NPI 1447040688
  NPD Authorized official
• Cornelio A Prudente

  • In Home Supportive Care Agency
  • Las Vegas, NV
  • NPI 1235064163
  NPD (past)

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1609638774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 E SAHARA AVE STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043220",
            "telephone_number": "702-806-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 E SUNSET RD STE B9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891206208",
            "telephone_number": "866-586-8722",
            "fax_number": "866-745-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE PERSONAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "MENDIOLA",
        "authorized_official_first_name": "BARON",
        "authorized_official_middle_name": "LEARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-806-1456"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silver State Medical Supply LLC
• Silver State Mind Wellness LLC
• Silver State Ocular LLC (Pro Eyesthetics)
• Silver State Pediatric Behavioral Services LLC
• Silver State Pediatric Behavioral Services LLC
• Silver State Pharmacy LLC
• Silver State Psychiatry Inc
• Silver State Psychology
• Silver State Psychology
• Silver State Rehab & Wellness Center LLC

• In Home Supportive Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.