NPI |
1942884812 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
1 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Provider Last Name Legal Name |
FERNANDEZ |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider First Name |
SONIA |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider Middle Name |
ANGELICA |
The middle name of the provider, if the provider
is an individual. |
Provider First Line Business Practice Location Address |
ADVANCED HOME HEALTH CARE |
The middle name of the provider, if the provider
is an individual. |
Provider Second Line Business Practice Location Address |
2860 E FLAMINGO RD. STE C |
The second 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 Name |
LAS VEGAS |
The second 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 State Name |
NV |
The State code in the location of the provider
being identified. |
Provider Business Practice Location Address Postal Code |
89121 |
The State code in the location of the provider
being identified. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
7025623355 |
The country code in the location address of the provider being identified. |
Provider Enumeration Date |
5/7/2021 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
5/7/2021 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Provider Gender Code |
F |
The code designating the provider’s gender if the provider is a person. |
Healthcare Provider Taxonomy Code 1 |
372500000X |
The code designating the provider’s gender if the provider is a person. |
Provider License Number State Code 1 |
NV |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Primary Taxonomy Switch 1 |
N |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Taxonomy Code 2 |
372600000X |
|
Provider License Number State Code 2 |
NV |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Primary Taxonomy Switch 2 |
N |
|
Healthcare Provider Taxonomy Code 3 |
3747A0650X |
|
Provider License Number State Code 3 |
NV |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Primary Taxonomy Switch 3 |
N |
|
Healthcare Provider Taxonomy Code 4 |
376J00000X |
|
Provider License Number State Code 4 |
NV |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Primary Taxonomy Switch 4 |
N |
|
Healthcare Provider Taxonomy Code 5 |
3747P1801X |
|
Provider License Number State Code 5 |
NV |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Primary Taxonomy Switch 5 |
Y |
|
Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
NPI Certification Date |
4/9/2021 |
|