SEROOR STEPHO , NPI 1528568987 — LAS VEGAS (NV)

NPI 1528568987

1+ Years Experience Individual

SEROOR STEPHO

02.12.2018
PROVIDER ENUMERATION DATE
02.12.2018
LAST UPDATE DATE
1528568987
NPI NUMBER

About SEROOR STEPHO

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

SEROOR STEPHO is a provider established in LAS VEGAS, NV. The NPI number of SEROOR STEPHO is 1528568987 and was assigned on 02.12.2018. The practitioners primary taxonomy code is: 372500000X .

Mailing address

  • City: LAS VEGAS
  • State: NV
  • Postal code: 891421663
  • Address: 5900 SLEEPY FAWN DR

Primary Practice Address

  • Region : LAS VEGAS, NV
  • NPI : 1528568987
  • Phone : 7024253377
  • Postalcode : 891463182
  • Address : 2001 S JONES BLVD STE E3

Provider taxonomy - Chore Provider

  • Taxonomy code: 372500000X

The taxonomy is not the primary taxonomy.

Taxonomy description: An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.

Healthcare provider taxonomy #2 - Adult Companion

  • Taxonomy code: 372600000X

The taxonomy is not the primary taxonomy.

Taxonomy description: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Contacts:

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  • SEROOR STEPHO
  • Address : 2001 S JONES BLVD STE E3
  • Region : LAS VEGAS, NV
  • NPI : 1528568987
  • Phone : 7024253377
  • Postalcode : 891463182

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address2001 S JONES BLVD STE E3
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLAS VEGAS
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNV
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code891463182
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number7024253377
The telephone number associated with the location address of the provider being identified.
NPI1528568987
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1372500000X
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
Provider Enumeration Date02.12.2018
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated02.12.2018
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)SEROOR STEPHO
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address5900 SLEEPY FAWN DR
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameLAS VEGAS
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNV
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code891421663
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Healthcare Provider Taxonomy Code #1372500000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Chore Provider
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
Healthcare Provider Primary Taxonomy Switch 1N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 2372600000X
Healthcare Provider Taxonomy 2Adult Companion
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Healthcare Provider Primary Taxonomy Switch 2N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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