Active NPI
JLK Home Care, Inc
- In Home Supportive Care Agency
- Las Vegas, NV
National Provider Identifier
1679845549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 5263PCS-3
- Legal business name
- JLK HOME CARE, INC
- Practice address
- 900 E Karen Ave
Suite B210
Las Vegas, NV 89109-1264 - Phone
- (702) 893-2001
- Fax
- (702) 369-3334
- NPI assigned
- Feb 7, 2012
- 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
- Kate Parker
- Title
- Owner
- Phone
- (702) 893-2001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 5263PCS-3 | NV | Primary |
Addresses
Primary practice location
900 E Karen Ave
Suite B210
Las Vegas, NV 89109-1264
Mailing address
900 E Karen Ave
Suite B210
Las Vegas, NV 89109-1264
Phone (702) 893-2001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9005054117 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220308002126 | NV | Part B Supplier - Clinic/Group Practice | 6709270754 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Las Vegas, NV |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328572800000",
"number": "1679845549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E KAREN AVE",
"address_2": "SUITE B210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891091264",
"telephone_number": "702-893-2001",
"fax_number": "702-369-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E KAREN AVE",
"address_2": "SUITE B210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891091264",
"telephone_number": "702-893-2001",
"fax_number": "702-369-3334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JLK HOME CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "KATE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-893-2001"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NV",
"license": "5263PCS-3",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9005054117",
"state": "NV"
}
],
"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 Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.