Active NPI
Hannaxavy Home Health
- Home Health Agency
- North Las Vegas, NV
National Provider Identifier
1730405291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- NV20101200949
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.