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Dignity Select Nevada LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Las Vegas, NV

NPI 1720546005 · NPPES record last updated Mar 14, 2019

Key facts

NPI
1720546005
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
DIGNITY SELECT NEVADA LLC
Practice address
821 N Nellis Blvd Ste 130
Las Vegas, NV 89110-5387
Phone
(702) 452-4563
Fax
(702) 452-6704
NPI assigned
Mar 6, 2019
Organization subpart
No

Authorized official

Name
Elizabeth Gelbaugh
Title
Manager
Phone
(717) 972-1100

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Member of 6

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 111

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NV

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190523001960 NV DME Supplier - Independently-Practicing Physical Therapist
DME Supplier - Independently-Practicing Occupational Therapist		 0941541155 Practice locations: Las Vegas, NV

National Provider Directory

Tax ID family
Dignity Select Nevada LLC (33 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

821 N Nellis Blvd Ste 130
Las Vegas, NV 89110-5387

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 14, 2019.

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1720546005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N NELLIS BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105387",
            "telephone_number": "702-452-4563",
            "fax_number": "702-452-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY SELECT NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "GELBAUGH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Durable Medical Equipment & Medical Supplies in Nevada

Sources for this page

Verify at the official NPI Registry.