Individual provider Active NPI

Serina A Phanthalath

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1730728973
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
720 Marion Dr
Las Vegas, NV 89110-5414
Phone
(619) 755-6348
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

720 Marion Dr
Las Vegas, NV 89110-5414

Mailing address

2350 S Jones Blvd Ste D6
Las Vegas, NV 89146-3103
Phone (702) 510-9982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angel'S Touch Home Care LLC CurrentSince Feb 23, 2025 Accepting new patients
Angel'S Touch Home Care LLC CurrentSince Jul 2, 2023 Accepting new patients

Locations

2350 S Jones Blvd
Ste D6
Las Vegas, NV 89146
Phone (702) 488-2838

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1730728973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 S JONES BLVD STE D6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463103",
            "telephone_number": "702-510-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MARION DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105414",
            "telephone_number": "619-755-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHANTHALATH",
        "first_name": "SERINA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "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 Jan 6, 2020; 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.