Organization Active NPI

I Declare Homecare

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1740740927
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
I DECLARE HOMECARE
Practice address
2350 S Jones Blvd Ste C3
Las Vegas, NV 89146-3103
Phone
(702) 214-2165
Fax
(702) 214-5801
NPI assigned
Mar 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Janet Hazel Hill
Title
Ceo
Phone
(702) 504-4968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2350 S Jones Blvd Ste C3
Las Vegas, NV 89146-3103

Mailing address

2350 S Jones Blvd Ste C3
Las Vegas, NV 89146-3103
Phone (702) 214-2165

Other names 1

  • I DECLARE HOMECARE L.L.C Doing business as

National Provider Directory

National Provider Directory
Tax ID family
I Declare Homecare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1740740927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 S JONES BLVD STE C3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463103",
            "telephone_number": "702-214-2165",
            "fax_number": "702-214-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 S JONES BLVD STE C3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463103",
            "telephone_number": "702-214-2165",
            "fax_number": "702-214-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I DECLARE HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "HAZEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-504-4968"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I DECLARE HOMECARE L.L.C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "I DECLARE HOMECARE L.L.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 28, 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.