DBA: GOOD SHEPHERD PCA SERVICES
NPI 1770117616
In Home Supportive Care in Las Vegas, NV

NPI Status: Active since March 01, 2020

Contact Information

2235 E FLAMINGO RD STE 170
LAS VEGAS, NV
ZIP 89119
Phone: (702) 406-3601
Fax: (702) 839-0095

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  • Organization
  • In Home Supportive Care

About DBA: GOOD SHEPHERD PCA SERVICES

This page provides the complete NPI Profile along with additional information for Dba: Good Shepherd Pca Services, a provider established in Las Vegas, Nevada operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1770117616 assigned on March 2020. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Dba: Good Shepherd Pca Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Dba: Good Shepherd Pca Services. The authorized official of this NPI record is Amairani Rivera (Manager)

NPI
1770117616
Provider Legal Name
CONFIDENCE PERSONAL CARE, LLC
Other Organization Name
DBA: GOOD SHEPHERD PCA SERVICES
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2235 E FLAMINGO RD STE 170 LAS VEGAS, NV 89119
Location Phone
(702) 406-3601
Location Fax
(702) 839-0095
Mailing Address
2235 E FLAMINGO RD STE 170 LAS VEGAS, NV 89119
Mailing Phone
(024) 063-6017
Mailing Fax
(702) 839-0095
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2020
Last Update Date
07-19-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13747P1801XNursing Service Related Providers

Technician
Personal Care Attendant

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMAIRANI RIVERA

Authorized Official Title
MANAGER
Authorized Official Phone
(702) 406-3601

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9722-PCA-0OTHER (01)NVPERSONAL CARE AGENCY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770117616
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27140211462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 2 + 1 + 1 + 4 + 6 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1770117616 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

KEVIN PATRICK MINCHIN

Physical Therapist

2235 E FLAMINGO RD STE 170
LAS VEGAS, NV
ZIP 89119

(702) 893-3333

GOOD SHEPHERD REHABILITATION INSTITUTE INC.

Physical Therapist

2235 E FLAMINGO RD STE 170
LAS VEGAS, NV
ZIP 89119

(725) 333-7149

YESENIYA SULEYMANOVA RT

Respiratory Therapist, Certified

2235 E FLAMINGO RD STE 170
LAS VEGAS, NV
ZIP 89119

(702) 893-3333

CORAZON DOLATRE RN

Registered Nurse

2235 E FLAMINGO RD STE 170
LAS VEGAS, NV
ZIP 89119

(702) 893-3333

JULIE EDINGTON BAGLEY RN

Registered Nurse

2235 E FLAMINGO RD STE 170
LAS VEGAS, NV
ZIP 89119

(702) 893-3333

STEPHEN JOHN ANTOM PTA

Physical Therapy Assistant

2235 E FLAMINGO RD STE 170
LAS VEGAS, NV
ZIP 89119

(702) 893-3333

AMAIRANI RIVERA

Technician

(Personal Care Attendant)

2235 E FLAMINGO RD STE 170
LAS VEGAS, NV
ZIP 89119

(702) 893-3333

WILLIAM KIRTZ

Respiratory Therapist, Registered

2235 E FLAMINGO RD STE 170
LAS VEGAS, NV
ZIP 89119

(702) 893-3333

HALIE WILLIAMS RT

Respiratory Therapist, Registered

2235 E FLAMINGO RD STE 170
LAS VEGAS, NV
ZIP 89119

(702) 893-3333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770117616, enumerated as an "organization" on March 01, 2020.

The provider is located at 2235 E FLAMINGO RD STE 170 LAS VEGAS, NV 89119 and the phone number is (702) 406-3601.

In Home Supportive Care with taxonomy code 253Z00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.