Home Care Professionals

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOME CARE PROFESSIONALS

Practice address

4428 E Azure Ave
Las Vegas, NV 89115-6028

Phone

(702) 417-4702

NPI assigned

Oct 7, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Quanika Shuntaaye Simpson-Jackson

Title

Owner

Phone

(702) 417-4702

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1912548264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 E AZURE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891156028",
            "telephone_number": "702-417-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 E AZURE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891156028",
            "telephone_number": "702-417-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "SIMPSON-JACKSON",
        "authorized_official_first_name": "QUANIKA",
        "authorized_official_middle_name": "SHUNTAAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-417-4702",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nevada",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Medical Records",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Payor",
            "address_1": "4428 E Azure Ave",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891156028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.