Opheila F. Javier

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

OPHEILA F. JAVIER

Practice address

1627 Gabriel Dr
Las Vegas, NV 89119-6203

Phone

(702) 798-8246

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Ophelia F Javier

Title

Owner

Phone

(702) 305-3625

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CJ Homes Doing business as

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1801355300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 GABRIEL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196203",
            "telephone_number": "702-798-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 GABRIEL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196203",
            "telephone_number": "702-798-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHEILA F. JAVIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "JAVIER",
        "authorized_official_first_name": "OPHELIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-305-3625"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005057367",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CJ Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Care Home Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.