Organization Active NPI

Family Personal Care, LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1801247952
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
8062PCS3 Issued in NV
Legal business name
FAMILY PERSONAL CARE, LLC
Practice address
4550 W Oakey Blvd Ste 108a
Las Vegas, NV 89102-1506
Phone
(702) 906-1999
NPI assigned
Jun 29, 2016
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Juan A Avila
Title
Manager
Phone
(702) 906-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 8062PCS3 NV Primary

Addresses

Primary practice location

4550 W Oakey Blvd Ste 108a
Las Vegas, NV 89102-1506

Mailing address

4550 W Oakey Blvd Ste 108a
Las Vegas, NV 89102-1506
Phone (702) 906-1999

Other identifiers 1

IdentifierTypeStateIssuer
1861806408OtherNVNPPES

National Provider Directory

National Provider Directory
Tax ID family
Family 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

4550 W Oakey Blvd
Ste 108A
Las Vegas, NV 89102
Phone (702) 906-1999

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1801247952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 W OAKEY BLVD STE 108A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021506",
            "telephone_number": "702-906-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W OAKEY BLVD STE 108A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021506",
            "telephone_number": "702-906-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-906-1999"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "8062PCS3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1861806408",
            "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 Jun 29, 2016; 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.