Active NPI
Restore Family Care, LLC
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1902515778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- RESTORE FAMILY CARE, LLC
- Practice address
- 2725 S Jones Blvd Ste 109
Las Vegas, NV 89146-5605 - Phone
- (702) 509-0825
- NPI assigned
- Nov 21, 2022
- 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
- Amor Antonio Flores
- Title
- Nurse Practitioner
- Phone
- (702) 509-0825
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2725 S Jones Blvd Ste 109
Las Vegas, NV 89146-5605
Mailing address
2725 S Jones Blvd Ste 109
Las Vegas, NV 89146-5605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1013539170
-
- Family Nurse Practitioner
- North Las Vegas, NV
- NPI 1063034049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668988800000",
"number": "1902515778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 S JONES BLVD STE 109",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 S JONES BLVD STE 109",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465605",
"telephone_number": "702-509-0825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE FAMILY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-19",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "AMOR ANTONIO",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "702-509-0825"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"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 Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.