Organization Active NPI

Compassionate Care Management LLC

  • Assisted Living Facility
  • Pahrump, NV
National Provider Identifier
1649841123
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COMPASSIONATE CARE MANAGEMENT LLC
Practice address
1931 S Vineyard Dr W
Pahrump, NV 89048-4865
Phone
(775) 253-5296
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Winnie Rose Harris
Title
Owner
Phone
(775) 253-5296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1931 S Vineyard Dr W
Pahrump, NV 89048-4865

Mailing address

1830 N Lola LN
Pahrump, NV 89060-3723

Other identifiers 1

IdentifierTypeStateIssuer
2003026657OtherNVNEVADA DRIVER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Pahrump

National Provider Directory

National Provider Directory

Locations

1931 S Vineyard Dr W
Pahrump, NV 89048
Phone (775) 253-5296

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1649841123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 N LOLA LN",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890603723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 S VINEYARD DR W",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890484865",
            "telephone_number": "775-253-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "WINNIE ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-253-5296"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA DRIVER LICENSE",
            "identifier": "2003026657",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pahrump",
            "affiliation": "N",
            "address_1": "1931 S Vineyard Dr W",
            "city": "Pahrump",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890484865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.