Organization Active NPI

Clark Support Services of Nevada

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1740046739
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
CLARK SUPPORT SERVICES OF NEVADA
Practice address
1810 E Sahara Ave
Las Vegas, NV 89104-3707
Phone
(702) 727-3824
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Mrs. Lashaunder M Clark, EMBA
Title
Administrator
Phone
(702) 241-5291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

1810 E Sahara Ave
Las Vegas, NV 89104-3707

Mailing address

638 Lava Falls Dr
Las Vegas, NV 89110-4005
Phone (702) 241-5291

Other names 1

  • CSS Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1740046739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 LAVA FALLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104005",
            "telephone_number": "702-241-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043707",
            "telephone_number": "702-727-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK SUPPORT SERVICES OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LASHAUNDER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-241-5291",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMBA"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 27, 2024; 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.