NPIMap

Organization Active NPI

Las Dos Aguas Home Health Care LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1760958995
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LAS DOS AGUAS HOME HEALTH CARE LLC
Practice address
4525 S Sandhill Rd Ste 110
Las Vegas, NV 89121-5955
Phone
(725) 204-7452
Fax
(702) 463-2200
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Edgar Jimenez
Title
Administrator
Phone
(702) 273-6658

Specialties & licenses 1

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

Addresses

Primary practice location

4525 S Sandhill Rd Ste 110
Las Vegas, NV 89121-5955

Mailing address

4525 S Sandhill Rd Ste 110
Las Vegas, NV 89121-5955
Phone (725) 204-7452

Other names 1

  • Las Dos Aguas Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

4525 S Sandhill Rd
Ste 110
Las Vegas, NV 89121
Phone (702) 629-6877

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1760958995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 S SANDHILL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215955",
            "telephone_number": "725-204-7452",
            "fax_number": "702-463-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 S SANDHILL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215955",
            "telephone_number": "725-204-7452",
            "fax_number": "702-463-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS DOS AGUAS HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-273-6658"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Dos Aguas Home Care",
            "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 Mar 18, 2022; 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.