Individual provider Active NPI

Sally Samy Kamel Kirollos, LPN

  • Home Health Agency
  • North Las Vegas, NV
National Provider Identifier
1972448926
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
877251 Issued in NV
Practice address
1121 Nevada Blaze Ave
North Las Vegas, NV 89081-6721
Phone
(702) 717-1580
NPI assigned
Apr 23, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 877251 NV Primary

Addresses

Primary practice location

1121 Nevada Blaze Ave
North Las Vegas, NV 89081-6721

Mailing address

1121 Nevada Blaze Ave
North Las Vegas, NV 89081-6721
Phone (702) 717-1580

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

LicenseStateTypeSpecialty
877251NVMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1972448926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 NEVADA BLAZE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816721",
            "telephone_number": "702-717-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 NEVADA BLAZE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816721",
            "telephone_number": "702-717-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMEL KIROLLOS",
        "first_name": "SALLY",
        "middle_name": "SAMY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "877251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 23, 2026; 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.