Organization Active NPI

Melaj Care Stay Home

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1861903585
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
8863-PCS-0 Issued in NV
Legal business name
MELAJ CARE STAY HOME
Practice address
2770 S Maryland Pkwy Ste 214
Las Vegas, NV 89109-1565
Phone
(702) 499-0748
Fax
(888) 340-3410
NPI assigned
Oct 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Debra K. TomblinNPI 1063923779
Title
Administrator
Phone
(702) 499-0748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X 8863-PCS-0 NV Primary

Addresses

Primary practice location

2770 S Maryland Pkwy Ste 214
Las Vegas, NV 89109-1565

Mailing address

2770 S Maryland Pkwy Ste 214
Las Vegas, NV 89109-1565
Phone (702) 499-0748

Other names 1

  • Stay Home Doing business as

National Provider Directory

National Provider Directory

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": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1861903585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY STE 214",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091565",
            "telephone_number": "702-499-0748",
            "fax_number": "888-340-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY STE 214",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091565",
            "telephone_number": "702-499-0748",
            "fax_number": "888-340-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELAJ CARE STAY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "TOMBLIN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-499-0748"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": "8863-PCS-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stay Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stay Home",
            "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 Dec 21, 2017; 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.