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PHENOMENAL CARE HOME HEALTH
NPI 1619471141
Home Health in Las Vegas, NV

Active since March 20, 2018
501 S RANCHO DR STE D19, LAS VEGAS, NV 89106(702) 613-0474(702) 553-3484 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phenomenal Care Home Health NPPES

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

PHENOMENAL CARE HOME HEALTH (NPI 1619471141) is a healthcare organization registered as a home health in Las Vegas, Nevada and active in the NPI registry since March 2018. The organization lists Kimberly Rashone Broussard, Ceo / Owner, as its authorized official.

NPPES Registry Identity

NPI1619471141
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePHENOMENAL CARE HOME HEALTH
Location Address501 S RANCHO DR STE D19Las Vegas, NV 89106-4832
Mailing Address501 S Rancho Dr Ste D19Las Vegas, NV 89106-4832 · (702) 613-0474 · Fax (702) 553-3484
Phone(702) 613-0474
Fax(702) 553-3484
Organization SubpartNo
Authorized OfficialKimberly Rashone BroussardCeo / Owner · (702) 613-0468
Enumeration DateMarch 20, 2018
✔ NPI 1619471141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
501 S RANCHO DR STE D19, Las Vegas, NV 89106
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WRIGHT'S BEHAVIOR HEALTH
Psychologist (Health Service)
501 S RANCHO DR STE D19
LAS VEGAS, NV 89106
Clark County (702) 613-0474
ANGEL HEARTS MENTAL HEALTH
Counselor (Mental Health)
501 S RANCHO DR STE D19
LAS VEGAS, NV 89106
Clark County (702) 767-0361

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 Phenomenal Care Home Health's NPI number?

The NPI number for Phenomenal Care Home Health is 1619471141. It was assigned to this organization in the NPPES registry on March 20, 2018.

Where is Phenomenal Care Home Health located?

Phenomenal Care Home Health is located at 501 S Rancho Dr Ste D19, Las Vegas, NV 89106. The listed phone number is (702) 613-0474.

What is Phenomenal Care Home Health's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Phenomenal Care Home Health was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.