NPIMap

Organization Active NPI

Senior Services Personal Care LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1770028706
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENIOR SERVICES PERSONAL CARE LLC
Practice address
336 S Jones Blvd
Suite B
Las Vegas, NV 89107-2623
Phone
(702) 953-7910
Fax
(702) 953-2250
NPI assigned
Dec 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Angel Salvador Carrillo
Title
Manager
Phone
(702) 953-7910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Respite Care 385H00000X 8627-PCS-0 NV

Addresses

Primary practice location

336 S Jones Blvd
Suite B
Las Vegas, NV 89107-2623

Mailing address

336 S Jones Blvd
Suite B
Las Vegas, NV 89107-2623
Phone (702) 953-7910

National Provider Directory

National Provider Directory
Tax ID family
Senior Services Personal Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

336 S Jones Blvd
Ste B
Las Vegas, NV 89107
Phone (702) 953-7910

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1770028706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S JONES BLVD",
            "address_2": "SUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-953-7910",
            "fax_number": "702-953-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S JONES BLVD",
            "address_2": "SUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-953-7910",
            "fax_number": "702-953-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SERVICES PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "SALVADOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-953-7910"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NV",
            "license": "8627-PCS-0",
            "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 Nov 23, 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.