NPIMap

Organization Active NPI

1St Advance Home Care

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1659768745
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
NV20141435807 Issued in NV
Legal business name
1ST ADVANCE HOME CARE
Practice address
6392 McLeod Dr
Suite 7
Las Vegas, NV 89120-4416
Phone
(702) 795-4357
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Ms. Joandra Cornelius-JohnsonNPI 1093103913
Title
Administrator
Phone
(702) 326-8594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NV20141435807 NV Primary

Addresses

Primary practice location

6392 McLeod Dr
Suite 7
Las Vegas, NV 89120-4416

Mailing address

6392 McLeod Dr
Suite 7
Las Vegas, NV 89120-4416

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1659768745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6392 MCLEOD DR",
            "address_2": "SUITE 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6392 MCLEOD DR",
            "address_2": "SUITE 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204416",
            "telephone_number": "702-795-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST ADVANCE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS-JOHNSON",
        "authorized_official_first_name": "JOANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-326-8594",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "NV20141435807",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 16, 2015; 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.