Active NPI
LV Infusion and Specialty, LLC
- Home Infusion Therapy Pharmacy
- Las Vegas, NV
National Provider Identifier
1679287700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- LV INFUSION AND SPECIALTY, LLC
- Practice address
- 2625 S Rainbow Blvd Ste B106
Las Vegas, NV 89146-0054 - Phone
- (725) 525-9005
- Fax
- (725) 525-9006
- NPI assigned
- Jan 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ritesh Patel
- Title
- Managing Member
- Phone
- (725) 525-9005
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
2625 S Rainbow Blvd Ste B106
Las Vegas, NV 89146-0054
Mailing address
2625 S Rainbow Blvd Ste B106
Las Vegas, NV 89146-0054
Phone (725) 525-9005
Other names 1
- Vital Care of Summerlin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231110001321 | NV | DME Supplier - Medical Supply Company With Registered Pharmacist | 7315394483 | Practice locations: Las Vegas, NV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Vital Care of Summerlin | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Antiemetic Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2625 S Rainbow Blvd
Ste B106
Las Vegas, NV 89146
Phone (702) 876-6337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673481600000",
"number": "1679287700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 S RAINBOW BLVD STE B106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460054",
"telephone_number": "725-525-9005",
"fax_number": "725-525-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 S RAINBOW BLVD STE B106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460054",
"telephone_number": "725-525-9005",
"fax_number": "725-525-9006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LV INFUSION AND SPECIALTY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "RITESH",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "725-525-9005"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vital Care of Summerlin",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.