Organization Active NPI

Bower Take Care Health Nevada, PC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1912103706
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BOWER TAKE CARE HEALTH NEVADA, PC
Practice address
4905 W Tropicana Ave
Las Vegas, NV 89103
Phone
(855) 925-4733
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Angela BowerNPI 1952514473
Title
President
Phone
(855) 925-4733

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4905 W Tropicana Ave
Las Vegas, NV 89103

Mailing address

1901 E Voorhees St
Ms 640
Danville, IL 61834-4509
Phone (855) 925-4733

Other identifiers 1

IdentifierTypeStateIssuer
191210370MedicaidNV

Other names 1

  • Take Care Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

16789 Collection Ctr Dr
Chicago, IL 60693

16789 Collections Ctr Dr
Chicago, IL 60693

1701 N Green Valley Pkwy
Henderson, NV 89074
Phone (702) 407-1100

7599 W Lake Mead Blvd
Las Vegas, NV 89128
Phone (702) 363-4622

9415 W Desert Inn Rd
Las Vegas, NV 89117
Phone (702) 233-8935

4771 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 250-8641

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1912103706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST",
            "address_2": "MS 640",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 W TROPICANA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89103",
            "telephone_number": "855-925-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWER TAKE CARE HEALTH NEVADA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-925-4733"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191210370",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Take Care Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Take Care Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 22, 2018; 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.