IndividualActive
Jongwan Park
NPI 1174267801 · Personal Care Attendant · Las Vegas, NV
Jongwan Park is a Personal Care Attendant provider in Las Vegas, NV (NPI 1174267801).
Provider details
- NPI number
- 1174267801
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3230 Polaris Ave Ste 2
Las Vegas, NV 89102-8325
Phone: (702) 678-5089
Street-level locationGet directions
Mailing address
3230 Polaris Ave Ste 2
Las Vegas, NV 89102-8325
Registry dates
- Enumerated
- 2022-04-27
- Last updated
- 2022-04-27
- Certified
- 2022-04-27
Frequently asked questions
- What is Jongwan Park's NPI number?
- Jongwan Park's National Provider Identifier (NPI) is 1174267801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jongwan Park's specialty?
- Jongwan Park is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).
- Where is Jongwan Park located?
- Jongwan Park's practice location on file with NPPES is 3230 Polaris Ave Ste 2, Las Vegas, NV 89102-8325.
- What is Jongwan Park's phone number?
- The practice phone number listed in the NPPES registry for Jongwan Park is (702) 678-5089.
- Is Jongwan Park's NPI active?
- Yes — Jongwan Park's NPI (1174267801) is active in the NPPES registry as of the last update on 2022-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.