Organization Active NPI

Paragon Healthcare of Pahrump, LLC.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Pahrump, NV
National Provider Identifier
1740591213
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PARAGON HEALTHCARE OF PAHRUMP, LLC.
Practice address
1470 E Calvada Blvd
100
Pahrump, NV 89048-3905
Phone
(702) 914-2790
Fax
(702) 914-5984
NPI assigned
Jun 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Jerry Velarde
Title
President
Phone
(702) 914-2790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

1470 E Calvada Blvd
100
Pahrump, NV 89048-3905

Mailing address

1655 W Horizon Ridge Pkwy
100
Henderson, NV 89012-3494
Phone (702) 914-2790

National Provider Directory

National Provider Directory

Locations

1655 W Horizon Ridge Pkwy
#100
Henderson, NV 89012
Phone (702) 914-2790

1470 E Calvada Blvd
Ste 100
Pahrump, NV 89048
Phone (702) 962-2200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1740591213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 W HORIZON RIDGE PKWY",
            "address_2": "100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123494",
            "telephone_number": "702-914-2790",
            "fax_number": "702-914-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 E CALVADA BLVD",
            "address_2": "100",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890483905",
            "telephone_number": "702-914-2790",
            "fax_number": "702-914-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON HEALTHCARE OF PAHRUMP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "VELARDE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-914-2790"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.