Organization Active NPI

Sucasa Personal Homecare LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1992419360
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 10, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.