SRC SOUTHWEST
NPI 1588370787
Custodial Care Facility - Adult Care Home in Las Vegas, NV

Active since January 31, 2023CLIA 29D2208479 · Waiver
7864 APACHE CLIFF ST, LAS VEGAS, NV 89113(702) 325-5355 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Src Southwest NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRC SOUTHWEST (NPI 1588370787) is a healthcare organization registered as an adult care home in Las Vegas, Nevada and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Maria Beatrice Mercado, Manager, as its authorized official.

NPPES Registry Identity

NPI1588370787
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSHARPE SERVICES, LLC
Location Address7864 APACHE CLIFF STLas Vegas, NV 89113-3010
Mailing Address1180 N Town Center Dr Ste 100Las Vegas, NV 89144-6308 · (702) 325-5355
Organization SubpartNo
Authorized OfficialMaria Beatrice MercadoManager · (702) 325-5355
Enumeration DateJanuary 31, 2023
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1588370787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
7864 APACHE CLIFF ST, Las Vegas, NV 89113

Other Names 1

Doing Business AsSrc Southwest

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2208479

Src Southwest · Las Vegas, NV
Active · expires Jan 5, 2027
CLIA Number29D2208479
Laboratory TypeRes Facility For Groups
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorBeatrice T. Shimada
Laboratory Phone(702) 325-5355
Laboratory LocationSrc Southwest7864 Apache Cliff St, Las Vegas, NV 89113
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharpe Services, LLC's NPI number?

The NPI number for Sharpe Services, LLC is 1588370787. It was assigned to this organization in the NPPES registry on January 31, 2023. The provider is doing business as Src Southwest.

Where is Sharpe Services, LLC located?

Sharpe Services, LLC is located at 7864 Apache Cliff St, Las Vegas, NV 89113. The listed phone number is (702) 325-5355.

What is Sharpe Services, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Sharpe Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2208479) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sharpe Services, LLC was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.