Organization Active NPI

At Home Sleep Studies LLC

  • Health Maintenance Organization
  • Las Vegas, NV
National Provider Identifier
1922264209
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
2000154-426 Issued in NV
Legal business name
AT HOME SLEEP STUDIES LLC
Practice address
1661 E Flamingo Rd
Suite 4B
Las Vegas, NV 89119-5291
Phone
(702) 463-8062
Fax
(702) 463-8368
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Mrs. Kearby R Maillaro
Title
Managing Member
Phone
(702) 463-8062

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Health Maintenance Organization 302R00000X 2000154-426 NV Primary

Addresses

Primary practice location

1661 E Flamingo Rd
Suite 4B
Las Vegas, NV 89119-5291

Mailing address

1661 E Flamingo Rd
Suite 4B
Las Vegas, NV 89119-5291
Phone (702) 463-8062

Other identifiers 1

IdentifierTypeStateIssuer
1922264209MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101120000050 NV Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1951597681 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

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": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1922264209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 E FLAMINGO RD",
            "address_2": "SUITE 4B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195291",
            "telephone_number": "702-463-8062",
            "fax_number": "702-463-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 E FLAMINGO RD",
            "address_2": "SUITE 4B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195291",
            "telephone_number": "702-463-8062",
            "fax_number": "702-463-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME SLEEP STUDIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "MAILLARO",
        "authorized_official_first_name": "KEARBY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-463-8062",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NV",
            "license": "2000154-426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922264209",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.