Elsube LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELSUBE LLC

Doing business as

San Antonio Personal Care

Practice address

417 Foxvale Ave
North Las Vegas, NV 89032-6150

Phone

(170) 261-9185

NPI assigned

Feb 17, 2023

Last updated

Feb 17, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ELSUBE LLC DBBA SAN ANTONIO PERSSONAL CAREAs reported in NPPES

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

Authorized official

Name

Elodia MaynardNPI 1073013835

Title

Manager/Administrator

Phone

(702) 619-1859

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Antonio Personal Care Doing business as

Tax ID family

Elsube LLC7 organizations share this tax ID, including this one

Part of

Elsube LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Elsube LLC

  dba San Antonio Personal Care

  • Home Health Agency
  • N Las Vegas, NV
  • NPI 1053748301
  NPD tax ID
• Elsube LLC

  dba San Antonio Personal Care

  • Homemaker
  • North Las Vegas, NV
  • NPI 1063889459
  NPD tax ID
• Elsube LLC

  dba San Antonio Personal Care

  • PACE Provider Organization
  • Nort Las Vegas, NV
  • NPI 1265808190
  NPD tax ID
• Elsube LLC

  dba San Antonio Personal Care

  • Day Training/Habilitation Specialist
  • Nort Las Vegas, NV
  • NPI 1346616273
  NPD tax ID
• Elsube LLC

  dba San Antonio Personal Care

  • Community Based Hospice Care Agency
  • Nort Las Vegas, NV
  • NPI 1447626379
  NPD tax ID
• Elsube LLC

  dba San Antonio Personal Care

  • In Home Supportive Care Agency
  • North Las Vegas, NV
  • NPI 1609243096
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elodia Maynard

  • Personal Care Attendant
  • North Las Vegas, NV
  • NPI 1073013835
  Authorized official Same address or phone

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1730887860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FOXVALE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890326150",
            "telephone_number": "170-261-9185",
            "fax_number": "702-463-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FOXVALE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890326150",
            "telephone_number": "170-261-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSUBE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELSUBE LLC DBBA SAN ANTONIO PERSSONAL CARE",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "ELODIA",
        "authorized_official_title_or_position": "MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "702-619-1859"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053748301",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Antonio Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Embrace Faith Comfort Care LLC
• Embraise Inc.
• Emerald Horizon Services
• Onyekachi Bernadette Emereuwaonu, APRN-CNP
• Emerus Nevada Inpatient Providers PLLC

• In Home Supportive Care Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.