Organization Active NPI

T. C. Fitzgerald Inc.

  • In Home Supportive Care Agency
  • Henderson, NV
National Provider Identifier
1679139398
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
T. C. FITZGERALD INC.
Practice address
335 W Sherwood Dr
Henderson, NV 89015-7700
Phone
(702) 396-6906
NPI assigned
May 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Authorized official

Name
Mr. Thomas Allan Fitzgerald III
Title
Administrator
Phone
(702) 496-6906

Specialties & licenses 1

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

Addresses

Primary practice location

335 W Sherwood Dr
Henderson, NV 89015-7700

Mailing address

335 W Sherwood Dr
Henderson, NV 89015-7700
Phone (702) 396-6906

Other identifiers 1

IdentifierTypeStateIssuer
9005053861MedicaidNV

Other names 1

  • Diamond Retirement Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2254304Diamond Retirement Living335 W Sherwood Drive, Henderson, NV 89015Certificate of waiverMar 1, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1679139398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W SHERWOOD DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157700",
            "telephone_number": "702-396-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W SHERWOOD DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157700",
            "telephone_number": "702-396-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. C. FITZGERALD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-496-6906",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005053861",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Retirement Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.