Individual provider Active NPI

Heraclio Rocky Perez

  • Licensed Practical Nurse
  • Las Vegas, NV
National Provider Identifier
1710551916
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN17566 Issued in NV
Practice address
7325 Merimack Oaks St
Las Vegas, NV 89166-5266
Phone
(210) 683-8672
NPI assigned
May 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN17566 NV Primary

Addresses

Primary practice location

7325 Merimack Oaks St
Las Vegas, NV 89166-5266

Mailing address

6955 N Durango Dr Unit 1115
Box 271
Las Vegas, NV 89149-4418

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

State licenses

LicenseStateTypeSpecialty
LPN17566NVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Honest Home Health Care, LLC Licensed Practical Nurse CurrentSince Oct 15, 2023 Accepting new patients

Locations

6955 N Durango Dr
Unit 1115
Las Vegas, NV 89149
Phone (702) 625-5791

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1710551916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 N DURANGO DR UNIT 1115",
            "address_2": "BOX 271",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 MERIMACK OAKS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665266",
            "telephone_number": "210-683-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "HERACLIO",
        "middle_name": "ROCKY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "LPN17566",
            "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 May 13, 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.