Organization Active NPI

Sharpe Services, LLC

  • Adult Care Home Facility
  • Las Vegas, NV
National Provider Identifier
1912565482
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SHARPE SERVICES, LLC
Practice address
8204 Cabin Springs Ave
Las Vegas, NV 89131-4622
Phone
(702) 325-5355
NPI assigned
May 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Maria Beatrice Mercado
Title
Manager
Phone
(702) 325-5355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

8204 Cabin Springs Ave
Las Vegas, NV 89131-4622

Mailing address

1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308
Phone (702) 325-5355

Other names 2

  • SRC Centennial Doing business as
  • Senior Residential Care Centennial Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bshimada@srcsenior.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2148264SRC Centennial8204 Cabin Springs Ave, Las Vegas, NV 89131Certificate of waiverMay 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Senior Residential Care Centennial3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1912565482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N TOWN CENTER DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446308",
            "telephone_number": "702-325-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 CABIN SPRINGS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314622",
            "telephone_number": "702-325-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARPE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "MARIA BEATRICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-325-5355"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bshimada@srcsenior.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8204 Cabin Springs Ave",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891314622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SRC Centennial",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Residential Care Centennial",
            "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 May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.