Individual provider Active NPI

Marine Abrahamyan

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1760244875
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
3400 W Desert Inn Rd Ste 16
Las Vegas, NV 89102-8355
Phone
(702) 279-4108
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence Home Care Personal Care Attendant Current
since Oct 20, 2024
Accepting new patients

Locations

3400 W Desert Inn Rd
Ste 16
Las Vegas, NV 89102
Phone (702) 279-4108

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

NPPES NPI Registry

Primary practice location

3400 W Desert Inn Rd Ste 16
Las Vegas, NV 89102-8355

Mailing address

3400 W Desert Inn Rd Ste 16
Las Vegas, NV 89102-8355
Phone (702) 279-4108

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2024.

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1760244875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W DESERT INN RD STE 16",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028355",
            "telephone_number": "702-279-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W DESERT INN RD STE 16",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028355",
            "telephone_number": "702-279-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMYAN",
        "first_name": "MARINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 17, 2024; 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.