Hector Carrillo

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

336 S Jones Blvd
Las Vegas, NV 89107-2623

Phone

(702) 953-7910

NPI assigned

Jan 21, 2021

Reactivated

Jul 25, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quality of Life Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Las Vegas, NV
  • NPI 1053079319

  Adult Day Care

  NPD Authorized official
• Quality of Life Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Las Vegas, NV
  • NPI 1285294850

  Adult Day Care

  NPD Authorized official

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1881284032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-953-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "HECTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "deactivation_date": "2021-11-21",
        "reactivation_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Carrillo
• Desiree D Carrillo, CPC-I
• Elizabeth Samai Carrillo
• Hannah Carrillo, LCSW
• Heather Lynn Carrillo
• Herminia Carrillo
• Idalia Carrillo
• Jerimiah Carrillo
• Jessica Carrillo
• Kassandra Carrillo

• All providers in Las Vegas, NV
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.