Organization Active NPI

Healthy Living at Home - Las Vegas LLC

  • Home Health Agency
  • Henderson, NV
National Provider Identifier
1740730829
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTHY LIVING AT HOME - LAS VEGAS LLC
Practice address
38 S Water St
Suite 100
Henderson, NV 89015-7324
Phone
(702) 735-6209
Fax
(702) 735-6210
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Julio Quinones
Title
Ceo
Phone
(916) 260-5296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

38 S Water St
Suite 100
Henderson, NV 89015-7324

Mailing address

6623 Las Vegas Blvd S Unit 220
Las Vegas, NV 89119-2603
Phone (702) 735-6209

National Provider Directory

National Provider Directory

Locations

6623 Las Vegas Blvd S
Las Vegas, NV 89119
Phone (702) 735-6209

6623 Las Vegas Blvd S
Unit 220
Las Vegas, NV 89119

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1740730829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6623 LAS VEGAS BLVD S UNIT 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192603",
            "telephone_number": "702-735-6209",
            "fax_number": "702-735-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S WATER ST",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157324",
            "telephone_number": "702-735-6209",
            "fax_number": "702-735-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING AT HOME - LAS VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-260-5296"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.