Organization Active NPI

Idealstaffing Inc

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1881042018
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
NV20141084923 Issued in NV
Legal business name
IDEALSTAFFING INC
Practice address
500 N Rainbow Blvd
Suite 300
Las Vegas, NV 89107-1082
Phone
(702) 305-5377
Fax
(855) 710-6639
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Idell Bailey
Title
Owner
Phone
(702) 305-5377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NV20141084923 NV Primary

Addresses

Primary practice location

500 N Rainbow Blvd
Suite 300
Las Vegas, NV 89107-1082

Mailing address

500 N Rainbow Blvd
Suite 300
Las Vegas, NV 89107-1082
Phone (702) 305-5377

Other identifiers 3

IdentifierTypeStateIssuer
1649631128MedicaidNV
1194188839MedicaidNV
1861878381MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Idealstaffing Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1881042018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD",
            "address_2": "SUITE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "702-305-5377",
            "fax_number": "855-710-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD",
            "address_2": "SUITE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "702-305-5377",
            "fax_number": "855-710-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEALSTAFFING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "IDELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-305-5377"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "NV20141084923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649631128",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194188839",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861878381",
            "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 May 27, 2016; 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.