NPIMap

Organization Active NPI

Caresource Nevada Co.

  • Health Maintenance Organization
  • Las Vegas, NV
National Provider Identifier
1992693329
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CARESOURCE NEVADA CO.
Practice address
6385 S Rainbow Blvd Ste 500
Las Vegas, NV 89118-3201
Phone
(725) 332-8900
NPI assigned
Jun 25, 2025
Organization subpart
Yes
Parent organization
CARESOURCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Jayme M Puu
Title
President
Phone
(937) 974-3518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

6385 S Rainbow Blvd Ste 500
Las Vegas, NV 89118-3201

Mailing address

230 N Main St
Dayton, OH 45402-1263
Phone (937) 224-3000

Other names 1

  • CareSource Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caresource Nevada Co3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

230 N Main St
Dayton, OH 45402
Phone (937) 224-3300

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1992693329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021263",
            "telephone_number": "937-224-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 S RAINBOW BLVD STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183201",
            "telephone_number": "725-332-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOURCE NEVADA CO.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARESOURCE",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "PUU",
        "authorized_official_first_name": "JAYME",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-974-3518"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSource",
            "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 Jun 25, 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.