Organization Active NPI

Partners in Care Nevada

  • Assisted Living Facility
  • Las Vegas, NV
National Provider Identifier
1871077263
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PARTNERS IN CARE NEVADA
Practice address
10053 San Gervasio Ave
Las Vegas, NV 89147-7202
Phone
(702) 818-0289
NPI assigned
Sep 20, 2018
Organization subpart
Yes
Parent organization
PARTNERS IN CARE NEVADAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Mr. Behayilu Merid Dubale, PROGRAM DIRECTOR
Title
General Manager/ Owner
Phone
(602) 814-1612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10053 San Gervasio Ave
Las Vegas, NV 89147-7202

Mailing address

10053 San Gervasio Ave
Las Vegas, NV 89147-7202
Phone (702) 818-0289

Other names 1

  • Group home care service Doing business as

National Provider Directory

National Provider Directory
Part of
Partners in Care Nevada

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1871077263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10053 SAN GERVASIO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477202",
            "telephone_number": "702-818-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10053 SAN GERVASIO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477202",
            "telephone_number": "702-818-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN CARE NEVADA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARTNERS IN CARE NEVADA",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "DUBALE",
        "authorized_official_first_name": "BEHAYILU",
        "authorized_official_middle_name": "MERID",
        "authorized_official_title_or_position": "GENERAL MANAGER/ OWNER",
        "authorized_official_telephone_number": "602-814-1612",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PROGRAM DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Group home care service",
            "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 Sep 20, 2018; 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.