NPIMap

Organization Active NPI

JLK Home Care Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1811239957
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5263PCS-3 Issued in NV
Legal business name
JLK HOME CARE INC
Practice address
900 Karen Ave Ste B210
Las Vegas, NV 89109-1274
Phone
(702) 893-2001
Fax
(702) 369-3334
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Kate Parker
Title
President
Phone
(702) 893-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5263PCS-3 NV Primary

Addresses

Primary practice location

900 Karen Ave Ste B210
Las Vegas, NV 89109-1274

Mailing address

900 Karen Ave Ste B210
Las Vegas, NV 89109-1274
Phone (702) 893-2001

Other identifiers 3

IdentifierTypeStateIssuer
9005055767MedicaidNV
9005055841MedicaidNV
9005254117MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
JLK Health Systems5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1811239957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 KAREN AVE STE B210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091274",
            "telephone_number": "702-893-2001",
            "fax_number": "702-369-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 KAREN AVE STE B210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091274",
            "telephone_number": "702-893-2001",
            "fax_number": "702-369-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLK HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-893-2001"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "5263PCS-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005055767",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005055841",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005254117",
            "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 Mar 26, 2013; 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.