Calvetta Bruton, CARE GIVER

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

4848 Raven Ave
Las Vegas, NV 89139-8162

Phone

(702) 426-6886

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Vanda'S Newlife Care Services LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1568045755
  NPD Authorized official

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1730764994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 S RAINBOW BLVD STE 102-559",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891390406",
            "telephone_number": "702-426-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 RAVEN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891398162",
            "telephone_number": "702-426-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTON",
        "first_name": "CALVETTA",
        "name_prefix": "Mrs.",
        "credential": "CARE GIVER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4100050682",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kacey Brunson
• Kimberlee Brunson
• Michael Brunson
• Alissa Brunsuzyan
• Ebony C Brushbreaker, LCSW
• Maneshaia Renee Bruton
• Paul Bruxneel
• Syndee Bruyneel
• Madonna Bruzan
• Dominic Bruzzese

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.