Organization Active NPI

Hannaxavy Home Health

  • Home Health Agency
  • North Las Vegas, NV
National Provider Identifier
1730405291
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NV20101200949 Issued in NV
Legal business name
HANNAXAVY HOME HEALTH
Practice address
4025 Gaster Ave
North Las Vegas, NV 89081-6697
Phone
(702) 426-7303
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Tracey Lynn Agbor
Title
Owner
Phone
(702) 426-7303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NV20101200949 NV Primary

Addresses

Primary practice location

4025 Gaster Ave
North Las Vegas, NV 89081-6697

Mailing address

4025 Gaster Ave
North Las Vegas, NV 89081-6697

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1730405291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 GASTER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 GASTER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816697",
            "telephone_number": "702-426-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAXAVY HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "AGBOR",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-426-7303"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "NV20101200949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.