Organization Active NPI

Icare Home Health Agency LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1730457433
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ICARE HOME HEALTH AGENCY LLC
Practice address
2411 W Charleston Blvd
St 100
Las Vegas, NV 89102-2123
Phone
(702) 485-2377
Fax
(702) 485-2979
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Mrs. Latasha S Adegboruwa, RN, BSN
Title
Administrator
Phone
(702) 485-2377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2411 W Charleston Blvd
St 100
Las Vegas, NV 89102-2123

Mailing address

2411 W Charleston Blvd
St 100
Las Vegas, NV 89102-2123
Phone (702) 485-2377

National Provider Directory

National Provider Directory

Locations

2411 W Charleston Blvd
#100
Las Vegas, NV 89102
Phone (702) 485-2377

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1730457433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W CHARLESTON BLVD",
            "address_2": "ST 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022123",
            "telephone_number": "702-485-2377",
            "fax_number": "702-485-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W CHARLESTON BLVD",
            "address_2": "ST 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022123",
            "telephone_number": "702-485-2377",
            "fax_number": "702-485-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "ADEGBORUWA",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-485-2377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "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 May 8, 2012; 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.