Active NPI
Leonarda Agcaoili
- Personal Care Attendant
- Las Vegas, NV
National Provider Identifier
1821775644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- Haven Personal Care Services, LLC
4775 S. Durango St., Suite 101
Las Vegas, NV 89147 - Phone
- (702) 802-3585
- NPI assigned
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
Haven Personal Care Services, LLC
4775 S. Durango St., Suite 101
Las Vegas, NV 89147
Mailing address
Haven Personal Care Services, LLC
4775 S. Durango St., Suite 101
Las Vegas, NV 89147
Phone (702) 802-3585
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haven Personal Care Services, LLC | Personal Care Attendant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1518369305
Personal Care Attendant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1821775644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HAVEN PERSONAL CARE SERVICES, LLC",
"address_2": "4775 S. DURANGO ST., SUITE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89147",
"telephone_number": "702-802-3585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HAVEN PERSONAL CARE SERVICES, LLC",
"address_2": "4775 S. DURANGO ST., SUITE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89147",
"telephone_number": "702-802-3585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGCAOILI",
"first_name": "LEONARDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.