Active NPI
Devan Leon Hammack
- Personal Care Attendant
- Henderson, NV
National Provider Identifier
1801741954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 3364 Ponicelli LN
Henderson, NV 89044-1759 - Phone
- (858) 442-6969
- NPI assigned
- Mar 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NV | Primary |
Addresses
Primary practice location
3364 Ponicelli LN
Henderson, NV 89044-1759
Mailing address
1805 Oak Moss PL
Las Vegas, NV 89144-5444
Phone (858) 442-6969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1801741954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 OAK MOSS PL",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891445444",
"telephone_number": "858-442-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3364 PONICELLI LN",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890441759",
"telephone_number": "858-442-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMACK",
"first_name": "DEVAN",
"middle_name": "LEON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.