Active NPI
Saguaro Home Health Services Inc.
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1871779249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 606HHA-10
- Legal business name
- SAGUARO HOME HEALTH SERVICES INC.
- Practice address
- 2770 S Maryland Pkwy
Suite 215
Las Vegas, NV 89109-1554 - Phone
- (702) 248-6850
- Fax
- (702) 650-3540
- NPI assigned
- Jan 16, 2008
- Last updated
- Jan 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramon A Dimaculangan Jr.
- Title
- Administrator
- Phone
- (702) 248-6850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 606HHA-10 | NV | Primary |
Addresses
Primary practice location
2770 S Maryland Pkwy
Suite 215
Las Vegas, NV 89109-1554
Mailing address
2770 S Maryland Pkwy
Suite 215
Las Vegas, NV 89109-1554
Phone (702) 248-6850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2902018 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200441600000",
"number": "1871779249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 S MARYLAND PKWY",
"address_2": "SUITE 215",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891091554",
"telephone_number": "702-248-6850",
"fax_number": "702-650-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 S MARYLAND PKWY",
"address_2": "SUITE 215",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891091554",
"telephone_number": "702-248-6850",
"fax_number": "702-650-3540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGUARO HOME HEALTH SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-16",
"last_updated": "2008-01-16",
"status": "A",
"authorized_official_last_name": "DIMACULANGAN",
"authorized_official_first_name": "RAMON",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "702-248-6850",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NV",
"license": "606HHA-10",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2902018",
"state": "NV"
}
],
"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 Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.