Organization Active NPI

Paragon Outpatient Therapy Services, LLC.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Las Vegas, NV
National Provider Identifier
1750601480
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PARAGON OUTPATIENT THERAPY SERVICES, LLC.
Practice address
7324 W Cheyenne Ave
Suite 7
Las Vegas, NV 89129-7427
Phone
(702) 214-6685
Fax
(702) 214-6685
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 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) 234-6685

Specialties & licenses 1

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

Addresses

Primary practice location

7324 W Cheyenne Ave
Suite 7
Las Vegas, NV 89129-7427

Mailing address

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

Other names 1

  • Paragon Healthcare, LLC, Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Paragon Healthcare5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1750601480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 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": "7324 W CHEYENNE AVE",
            "address_2": "SUITE 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297427",
            "telephone_number": "702-214-6685",
            "fax_number": "702-214-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON OUTPATIENT THERAPY SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "VELARDE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-234-6685"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Healthcare, LLC,",
            "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 Jun 4, 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.