Kathleen Maravillas

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308

Phone

(702) 769-2781

Fax

(725) 214-6529

NPI assigned

Nov 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lifecare, LLC.

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1649844200
  NPD Authorized official
• Icare Hospice and Palliative Care Inc

  • Community Based Hospice Care Agency
  • Henderson, NV
  • NPI 1528883063
  NPD

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1689047623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N TOWN CENTER DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446308",
            "telephone_number": "702-769-2781",
            "fax_number": "725-214-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N TOWN CENTER DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446308",
            "telephone_number": "702-769-2781",
            "fax_number": "725-214-6529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9999 W Katie Ave Unit 1313",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891478352",
            "country_code": "US",
            "telephone_number": "702-769-2781",
            "fax_number": "702-586-2504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARAVILLAS",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lifecarehospicenv@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "1180 N Town Center Dr Ste 100",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891446308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dexter Marasigan
• Marathon Health, LLC
• Marathon Health, LLC
• Portia Lynn Maravich, OTD
• Rachel Maravilla
• Ma Leah Roble Maravillas
• Jennifer Trang Marbella, MD
• Marko Esteves Marbella, M.D.
• Mikal J Marble, LMSW
• Robert Thomas Marbury III

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.