Active NPI
Pedro Garcia Morales
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1871322305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 4580 S. Eastern Avenue
Suite 30
Las Vegas, NV 89119 - Phone
- (702) 954-4087
- Fax
- (702) 549-8568
- NPI assigned
- Aug 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | |||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4580 S. Eastern Avenue
Suite 30
Las Vegas, NV 89119
Mailing address
5900 W. Tropicana Ave
Trailer 92
Las Vegas, NV 89103
Phone (702) 328-3191
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1871322305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 W. TROPICANA AVE",
"address_2": "TRAILER 92",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89103",
"telephone_number": "702-328-3191",
"fax_number": "702-549-8568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4580 S. EASTERN AVENUE",
"address_2": "SUITE 30",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89119",
"telephone_number": "702-954-4087",
"fax_number": "702-549-8568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA MORALES",
"first_name": "PEDRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-01",
"last_updated": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"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 Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.