Organization Active NPI

Mom and Pop Caregiving Agency Inc

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1760013825
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MOM AND POP CAREGIVING AGENCY INC
Practice address
1771 E Flamingo Rd Ste 230a
Las Vegas, NV 89119-0851
Phone
(702) 476-2840
NPI assigned
Jan 28, 2020
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Mrs. Gina I Landero
Title
Administration
Phone
(310) 918-9209

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Respite Care 385H00000X

Addresses

Primary practice location

1771 E Flamingo Rd Ste 230a
Las Vegas, NV 89119-0851

Mailing address

1771 E Flamingo Rd Ste 230a
Las Vegas, NV 89119-0851
Phone (310) 918-9209

National Provider Directory

National Provider Directory

Locations

1771 E Flamingo Rd
Ste 230A
Las Vegas, NV 89119
Phone (702) 209-2135

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1760013825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 230A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190851",
            "telephone_number": "310-918-9209",
            "fax_number": "702-407-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 230A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190851",
            "telephone_number": "702-476-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOM AND POP CAREGIVING AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "LANDERO",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "310-918-9209",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2021; 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.