Active NPI
Med-Staff Home Health LV, LLC
- Home Health Agency
- Henderson, NV
National Provider Identifier
1902963713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 4455HHA-1
- Legal business name
- MED-STAFF HOME HEALTH LV, LLC
- Practice address
- 1525 W Warm Springs Rd
#410
Henderson, NV 89014-4315 - Phone
- (702) 731-6800
- Fax
- (702) 731-0800
- NPI assigned
- Jan 2, 2007
- 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
- Mr. David Tharenos
- Title
- Owner
- Phone
- (314) 997-3399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 4455HHA-1 | NV | Primary |
Addresses
Primary practice location
1525 W Warm Springs Rd
#410
Henderson, NV 89014-4315
Mailing address
11901 Olive Blvd
#217
Saint Louis, MO 63141-6736
Phone (314) 997-3399
National Provider Directory
National Provider DirectoryLocations
1525 W Warm Springs Rd
Ste 410
Henderson, NV 89014
Phone (702) 731-6800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902963713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11901 OLIVE BLVD",
"address_2": "#217",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416736",
"telephone_number": "314-997-3399",
"fax_number": "314-993-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 W WARM SPRINGS RD",
"address_2": "#410",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890144315",
"telephone_number": "702-731-6800",
"fax_number": "702-731-0800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-STAFF HOME HEALTH LV, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THARENOS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-997-3399",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NV",
"license": "4455HHA-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- 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.