Active NPI
Sharpe Services, LLC
- Adult Care Home Facility
- Las Vegas, NV
National Provider Identifier
1912565482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Senior Residential Care Centennial
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bshimada@srcsenior.com | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2148264 | SRC Centennial | Certificate of waiver | May 6, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Senior Residential Care Centennial
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Care Home Facility
- Las Vegas, NV
- NPI 1588370787
-
- Adult Care Home Facility
- Las Vegas, NV
- NPI 1841658515
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.