Active NPI
Idell Bailey, OWNER
- Home Health Aide
- Las Vegas, NV
National Provider Identifier
1962890673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- NV20141084923
- Practice address
- 500 N Rainbow Blvd Ste 300
Las Vegas, NV 89107-1061 - Phone
- (702) 305-5377
- Fax
- (855) 710-6639
- NPI assigned
- Jan 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NV20141084923 | NV | Primary |
Addresses
Primary practice location
500 N Rainbow Blvd Ste 300
Las Vegas, NV 89107-1061
Mailing address
500 N Rainbow Blvd Ste 300
Las Vegas, NV 89107-1061
Phone (702) 305-5377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NV20141084923 | NV | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Staffing Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Las Vegas, NV
- NPI 1861878381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1962890673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N RAINBOW BLVD STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071061",
"telephone_number": "702-305-5377",
"fax_number": "855-710-6639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N RAINBOW BLVD STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071061",
"telephone_number": "702-305-5377",
"fax_number": "855-710-6639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "IDELL",
"credential": "OWNER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-03",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NV",
"license": "NV20141084923",
"primary": true
}
],
"identifiers": [],
"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 Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.