Organization Active NPI

Carewell Inc.

Doing business as Advancing Health Access of Nevada

  • Health Service Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1639768443
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CAREWELL INC.
Doing business as
Advancing Health Access of Nevada
Practice address
9550 S Eastern Ave Ste 111
Las Vegas, NV 89123-8038
Phone
(951) 345-3053
NPI assigned
Jan 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Ronald Kooch
Title
Coo
Phone
(951) 345-3053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

9550 S Eastern Ave Ste 111
Las Vegas, NV 89123-8038

Mailing address

9550 S Eastern Ave Ste 111
Las Vegas, NV 89123-8038
Phone (951) 345-3053

Other names 1

  • Advancing Health Access of Nevada Doing business as

National Provider Directory

National Provider Directory

Locations

9550 S Eastern Ave
Ste 111
Las Vegas, NV 89123
Phone (951) 345-3053

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1639768443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 S EASTERN AVE STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238038",
            "telephone_number": "951-345-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 S EASTERN AVE STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238038",
            "telephone_number": "951-345-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWELL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "KOOCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "951-345-3053"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advancing Health Access of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 15, 2021; 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.