Mavi Precious Gayle Carlos

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

4850 W Flamingo Rd Ste 25a&B
Las Vegas, NV 89103-3705

Phone

(702) 871-9917

NPI assigned

Nov 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Health & Care Professional Network LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1447344353
  NPD (past)

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1679119440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6678 OCTAVE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W FLAMINGO RD STE 25A&B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033705",
            "telephone_number": "702-871-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "MAVI PRECIOUS GAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA ID",
            "identifier": "1606319518",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Kristina Cabanit Carlos
• Glenda Carlos
• Hannah Carlos
• Isaiah Cedric Mabasa Carlos
• Loren Nicole Carlos
• Monica Grace Carlos
• Raneisha Carlos
• Raymond Lorenzo Carlos
• Carlotta D. Winn
• Delaney Carlovsky

• Home Health Aide in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Aide in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.