Mary Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3842HHA-5 Issued in NV

Legal business name

MARY HOME HEALTH, INC.

Practice address

2770 S Maryland Pkwy
Las Vegas, NV 89109-1554

Phone

(702) 733-9252

Fax

(702) 733-9282

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dorina Buenavista Grella

Title

President

Phone

(702) 733-9252

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699722454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091554",
            "telephone_number": "702-733-9252",
            "fax_number": "702-733-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRELLA",
        "authorized_official_first_name": "DORINA",
        "authorized_official_middle_name": "BUENAVISTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-733-9252",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "3842HHA-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James G. Marx, M.D.
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• Kimberly Marie Marx, LMSW, CSW-INTERN
• Matthew Marx
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• Maryam Sina
• Rida Maryam

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.