KBR, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

5443PCS-2 Issued in NV

Legal business name

KBR, INC.

Doing business as

Home Instead Senior Care

Practice address

2340 Paseo del Prado
Suite D112
Las Vegas, NV 89102-4360

Phone

(702) 796-6393

Fax

(702) 796-6392

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Lavonne Reppert

Title

Administrator

Phone

(702) 796-6393

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1821350661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PASEO DEL PRADO",
            "address_2": "SUITE D112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024360",
            "telephone_number": "702-796-6393",
            "fax_number": "702-796-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PASEO DEL PRADO",
            "address_2": "SUITE D112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024360",
            "telephone_number": "702-796-6393",
            "fax_number": "702-796-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "REPPERT",
        "authorized_official_first_name": "LAVONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-796-6393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "5443PCS-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.