NPIMap

Organization Active NPI

Aa Personal Care LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1619330792
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NV20151102942 Issued in NV
Legal business name
AA PERSONAL CARE LLC
Practice address
5020 Alta Dr Ste B
Las Vegas, NV 89107-3940
Phone
(725) 600-7953
Fax
(702) 664-6933
NPI assigned
Apr 5, 2016
Last updated
Apr 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Kassandra Edith Alfaro
Title
Owner
Phone
(702) 619-4925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NV20151102942 NV Primary

Addresses

Primary practice location

5020 Alta Dr Ste B
Las Vegas, NV 89107-3940

Mailing address

5020 Alta Dr Ste B
Las Vegas, NV 89107-3940
Phone (725) 600-7953

Other identifiers 1

IdentifierTypeStateIssuer
1689031965MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Aa Personal Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5020 Alta Dr
Ste B
Las Vegas, NV 89107
Phone (702) 204-1906

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1619330792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 ALTA DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073940",
            "telephone_number": "725-600-7953",
            "fax_number": "702-664-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 ALTA DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073940",
            "telephone_number": "725-600-7953",
            "fax_number": "702-664-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-619-4925"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "NV20151102942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689031965",
            "state": "NV"
        }
    ],
    "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 Apr 5, 2016; 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.