Ivette Cruz

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

2961 E Serene Ave
Henderson, NV 89074-6507

Phone

(702) 948-4848

Fax

(702) 948-4845

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 2020By the provider in NPPES

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

Other identifiers 1

Other names 1

• Ivette Herrera Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1689292922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 PINEROCK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891562700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 E SERENE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746507",
            "telephone_number": "702-948-4848",
            "fax_number": "702-948-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "IVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083830277",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "INFO@MYATHOMESOLUTIONS.COM",
            "affiliation": "N",
            "address_1": "2961 E Serene Ave",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890746507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "IVETTE",
            "last_name": "HERRERA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Primavera Cruz Hamilton
• Maryory Valeska Cruz Trochez
• Naomi Satina Cruz-Moreno, APRN
• Eduany Cruz
• Elinor Archie Lantoria Cruz, PHARMD
• Jamilla Cruz
• Maria Cristina D Cruz
• Nerisse Cruzado
• Susana Cruzata
• Crystal Hospice Care Inc

• Homemaker in Henderson, NV
• Providers in Henderson, NV by specialty
• Homemaker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.