Organization Active NPI

Las Vegas Mobility Store LLC

Doing business as Cpap Shop Henderson

  • Oxygen Equipment & Supplies (DME)
  • Las Vegas, NV
National Provider Identifier
1912589029
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
LAS VEGAS MOBILITY STORE LLC
Doing business as
Cpap Shop Henderson
Practice address
3799 Bombastic CT
Las Vegas, NV 89147-7407
Phone
(702) 623-1611
NPI assigned
Apr 27, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LAS VEGAS MOBILITY STORE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Harutyun Babayan
Title
President
Phone
(702) 330-3031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

3799 Bombastic CT
Las Vegas, NV 89147-7407

Mailing address

3799 Bombastic CT
Las Vegas, NV 89147-7407

Other names 1

  • CPAP SHOP HENDERSON Doing business as

National Provider Directory

National Provider Directory
Part of
Las Vegas Mobility Store LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1912589029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3799 BOMBASTIC CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 BOMBASTIC CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477407",
            "telephone_number": "702-623-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS MOBILITY STORE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAS VEGAS MOBILITY STORE LLC",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "BABAYAN",
        "authorized_official_first_name": "HARUTYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-330-3031"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPAP SHOP HENDERSON",
            "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 Apr 27, 2021; 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.