Organization Active NPI

Irawo Sky Fall LLC

  • General Practice Physician
  • Henderson, NV
National Provider Identifier
1942009774
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
IRAWO SKY FALL LLC
Practice address
83 Parker Ranch Dr
Henderson, NV 89012-2613
Phone
(702) 210-6344
NPI assigned
Mar 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Eyling Manzo HungNPI 1740770379
Title
Manager
Phone
(702) 210-6344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

83 Parker Ranch Dr
Henderson, NV 89012-2613

Mailing address

83 Parker Ranch Dr
Henderson, NV 89012-2613

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": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1942009774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 PARKER RANCH DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 PARKER RANCH DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122613",
            "telephone_number": "702-210-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRAWO SKY FALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "MANZO HUNG",
        "authorized_official_first_name": "EYLING",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-210-6344"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.