Kassandra Carrillo

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

4660 S Eastern Ave Ste 201
Las Vegas, NV 89119-6139

Phone

(702) 462-5251

NPI assigned

Jul 21, 2023

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Better Home Care for You, LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
  • NPI 1528690104
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2023.

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1649950866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 S EASTERN AVE STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196139",
            "telephone_number": "702-462-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S EASTERN AVE STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196139",
            "telephone_number": "702-462-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "KASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Carrillo
• Herminia Carrillo
• Idalia Carrillo
• Jerimiah Carrillo
• Jessica Carrillo
• Laura Carrillo
• Leanne Carrillo, P.T.
• Legna Carrillo
• Luis Carrillo
• Maria Jose Carrillo

• All providers in Las Vegas, NV
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.