Mariely C Gomez Mejia

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1912 S Maryland Pkwy
Las Vegas, NV 89104-3106

Phone

(702) 331-3650

NPI assigned

Dec 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mariely C Gomez Mejia Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aries Family Care LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
  • NPI 1881332872

  Personal Care Attendant

  NPD

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1821709304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043106",
            "telephone_number": "702-331-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043106",
            "telephone_number": "702-331-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ MEJIA",
        "first_name": "MARIELY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV DRIVER LICENSE CARD",
            "identifier": "2102241300",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ariesfcklv@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Aries Family Care LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1912 S Maryland Pkwy",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891043106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ariesfclv@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Aries Family Care LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1912 S Maryland Pkwy",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891043106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIELY",
            "last_name": "GOMEZ MEJIA",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mileidy Gomez Leal
• Monica Patricia Gomez Lopez
• Norma N Gomez Mares
• Wendy Gomez Martinez
• Yisel Gomez Matos
• Yasmina Gomez Menendez
• Adriana Oristela Gomez Rivero
• Wilma Ibis Gomez Rodriguez
• Kimberly Gomez Rubio, CHW
• Lucero Gomez Sanchez

• Personal Care Attendant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.