Active NPI
Charles Michell
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1750684841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 6048PCS-6
- Practice address
- 800 N Rainbow Blvd
212
Las Vegas, NV 89107-1189 - Phone
- (702) 293-3888
- Fax
- (702) 293-3664
- NPI assigned
- Dec 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 6048PCS-6 | NV | |
| Chore Provider | 372500000X | 6048PCS-6 | NV | |
| Home Health Aide | 374U00000X | 6048PCS-6 | NV | |
| Home Health Agency | 251E00000X | 6048PCS-6 | NV | Primary |
Addresses
Primary practice location
800 N Rainbow Blvd
212
Las Vegas, NV 89107-1189
Mailing address
800 N Rainbow Blvd
212
Las Vegas, NV 89107-1189
Phone (702) 293-3888
Other practice location 1
800 N Rainbow Blvd Ste 165
Las Vegas, NV 89107-1189
Phone (702) 366-5864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538546635 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6048PCS-6 | NV | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceful Touch, LLC | Home Health | Current | Accepting new patients |
| Graceful Touch | Home Health | Current | Accepting new patients |
Locations
800 N Rainbow Blvd
Ste 28
Las Vegas, NV 89107
Phone (702) 293-3888
800 N Rainbow Blvd
Ste 212
Las Vegas, NV 89107
Phone (702) 293-3888
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1538546635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1750684841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N RAINBOW BLVD",
"address_2": "212",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071189",
"telephone_number": "702-293-3888",
"fax_number": "702-293-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N RAINBOW BLVD",
"address_2": "212",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071189",
"telephone_number": "702-293-3888",
"fax_number": "702-293-3664"
}
],
"practiceLocations": [
{
"address_1": "800 N Rainbow Blvd Ste 165",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891071189",
"country_code": "US",
"telephone_number": "702-366-5864",
"fax_number": "702-822-1042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHELL",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "NV",
"license": "6048PCS-6",
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NV",
"license": "6048PCS-6",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NV",
"license": "6048PCS-6",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NV",
"license": "6048PCS-6",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538546635",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.