Active NPI
Keone Hideya Kakuuchi
- Personal Care Attendant
- Las Vegas, NV
National Provider Identifier
1699399220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 5250 S Rainbow Blvd Unit 1156
Las Vegas, NV 89118-0630 - Phone
- (702) 815-9012
- Fax
- (702) 988-5305
- NPI assigned
- May 29, 2020
- Last updated
- May 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | NU | ||
| Attendant Care Provider | 3747A0650X | NU | ||
| Personal Care Attendant | 3747P1801X | NU | Primary | |
| Home Health Aide | 374U00000X | NU | ||
| Homemaker | 376J00000X | NU |
Addresses
Primary practice location
5250 S Rainbow Blvd Unit 1156
Las Vegas, NV 89118-0630
Mailing address
5250 S Rainbow Blvd Unit 1156
Las Vegas, NV 89118-0630
Phone (702) 815-9012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kazar Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1699399220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 S RAINBOW BLVD UNIT 1156",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891180630",
"telephone_number": "702-815-9012",
"fax_number": "702-988-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 S RAINBOW BLVD UNIT 1156",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891180630",
"telephone_number": "702-815-9012",
"fax_number": "702-988-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKUUCHI",
"first_name": "KEONE",
"middle_name": "HIDEYA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-29",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"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 May 29, 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.