Greater Vegas Personal Care

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

132986 Issued in NV

Legal business name

GREATER VEGAS PERSONAL CARE

Practice address

336 S Jones Blvd
Las Vegas, NV 89107-2623

Phone

(702) 735-8884

Fax

(702) 735-8886

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Fabiana Alfaro

Title

Member

Phone

(702) 735-8884

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881654093",
    "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",
            "telephone_number": "702-735-8884",
            "fax_number": "702-735-8886"
        },
        {
            "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": "702-735-8884",
            "fax_number": "702-735-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER VEGAS PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "FABIANA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-735-8884",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NV",
            "license": "132986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Exclusive Provider Organization in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.