Organization Active NPI

Fong Home Health Care

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1710233317
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
6267PCS-0 Issued in NV
Legal business name
FONG HOME HEALTH CARE
Practice address
50 N. Honolulu Street Suite 130
Las Vegas, NV 89110
Phone
(702) 463-2760
Fax
(702) 463-2760
NPI assigned
Aug 1, 2012
Last updated
Aug 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Altagracia Fong, P.C.A
Title
Owner
Phone
(702) 463-2760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 6267PCS-0 NV Primary

Addresses

Primary practice location

50 N. Honolulu Street Suite 130
Las Vegas, NV 89110

Mailing address

50 N. Honolulu Street Suite 130
Las Vegas, NV 89110
Phone (702) 463-2760

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1710233317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N. HONOLULU STREET SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89110",
            "telephone_number": "702-463-2760",
            "fax_number": "702-463-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N. HONOLULU STREET SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89110",
            "telephone_number": "702-463-2760",
            "fax_number": "702-463-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONG HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "ALTAGRACIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-463-2760",
        "authorized_official_credential": "P.C.A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "6267PCS-0",
            "primary": true
        }
    ],
    "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 Aug 1, 2012; 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.