Organization Active NPI

Heart of Change Personal Care LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1710647987
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEART OF CHANGE PERSONAL CARE LLC
Practice address
9053 Pearl Cotton Ave
Las Vegas, NV 89149-0498
Phone
(702) 883-9730
NPI assigned
Dec 29, 2021
Last updated
Dec 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Denise McElroy-Naylor
Title
Owner/President
Phone
(702) 883-9730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

9053 Pearl Cotton Ave
Las Vegas, NV 89149-0498

Mailing address

9053 Pearl Cotton Ave
Las Vegas, NV 89149-0498
Phone (702) 883-9730

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1710647987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9053 PEARL COTTON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490498",
            "telephone_number": "702-883-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9053 PEARL COTTON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490498",
            "telephone_number": "702-883-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF CHANGE PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "MCELROY-NAYLOR",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "702-883-9730"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "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 Dec 29, 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.