NPIMap

Organization Active NPI

JLK Home Care Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1821730268
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JLK HOME CARE INC
Practice address
3210 W Charleston Blvd Ste 2NA
Las Vegas, NV 89102-2030
Phone
(170) 289-3200
Fax
(702) 369-3334
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3210 W Charleston Blvd Ste 2NA
Las Vegas, NV 89102-2030

Mailing address

3210 W Charleston Blvd Ste 2
Las Vegas, NV 89102-0080
Phone (702) 234-8191

Other names 1

  • JLK HEALTH SYSTEMS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address preetyinpink@hotmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220308002126 NV Part B Supplier - Clinic/Group Practice 6709270754 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Locations

3210 W Charleston Blvd
Ste 2
Las Vegas, NV 89102
Phone (702) 515-9680

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1821730268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 W CHARLESTON BLVD STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020080",
            "telephone_number": "702-234-8191",
            "fax_number": "702-369-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 W CHARLESTON BLVD STE 2NA",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022030",
            "telephone_number": "170-289-3200",
            "fax_number": "702-369-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLK HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-893-2001"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "preetyinpink@hotmail.com",
            "affiliation": "N",
            "address_1": "3210 W Charleston Blvd Ste 2",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891020080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JLK HEALTH SYSTEMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.