1740894096 NPI number — JPN HOLDINGS CORP

Table of content: (NPI 1306399878)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740894096 NPI number — JPN HOLDINGS CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JPN HOLDINGS CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ASSISTING HANDS SOUTH CENTRAL LAS VEGAS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740894096
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8275 S EASTERN AVE STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89123-2545
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-850-2500
Provider Business Mailing Address Fax Number:
702-846-2511

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8275 S EASTERN AVE STE 246
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-850-2500
Provider Business Practice Location Address Fax Number:
702-846-2511
Provider Enumeration Date:
09/03/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
GRACE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR/ADMINISTRATOR
Authorized Official Telephone Number:
702-850-2500

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9990-PCS-0 . This is a "HOME CARE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".