Active NPI
Sucasa Personal Homecare LLC
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1992419360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SUCASA PERSONAL HOMECARE LLC
- Practice address
- 3430 E Flamingo Rd Ste 200
Las Vegas, NV 89121-5064 - Phone
- (702) 348-9453
- NPI assigned
- Jan 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glen Schlosser
- Title
- Director
- Phone
- (702) 489-4533
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
3430 E Flamingo Rd Ste 200
Las Vegas, NV 89121-5064
Mailing address
3430 E Flamingo Rd Ste 200
Las Vegas, NV 89121-5064
Phone (702) 348-9453
Other practice location 1
3430 E Flamingo Rd Ste 320
Las Vegas, NV 89121-5067
Phone (702) 489-4533
Other names 1
- Sucasa Personal Homecare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673308800000",
"number": "1992419360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 E FLAMINGO RD STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215064",
"telephone_number": "702-348-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 E FLAMINGO RD STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215064",
"telephone_number": "702-348-9453"
}
],
"practiceLocations": [
{
"address_1": "3430 E Flamingo Rd Ste 320",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891215067",
"country_code": "US",
"telephone_number": "702-489-4533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUCASA PERSONAL HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A",
"authorized_official_last_name": "SCHLOSSER",
"authorized_official_first_name": "GLEN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "702-489-4533",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sucasa Personal Homecare",
"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 Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.