ALTERNATIVE CARE HOME (NPI# 1598238164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598238164 |
Entity Type | Organization |
Organization Name | ALTERNATIVE CARE HOME |
Practice Address |
4504 La Roca Cir Las Vegas NV 89121-6416 |
Practice Telephone | 7029124744 |
Practice Fax Number | 7029124744 |
Mailing Telephone | 7029124744 |
Mailing Fax Number | 7029124744 |
Enumeration Date | 2019-01-07 |
Last Update Date | 2019-01-07 |
Authorized Official Name | JANYVILL RUIZ (OWNER) |
Authorized Official Telephone | 7023018862 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
Street Address |
4504 LA ROCA CIR |
City | LAS VEGAS |
State | NV |
Zip Code | 89121-6416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790136802 | Faith Shari 3 | Residential Treatment Facility, Physical Disabilities | 4504 La Roca Cir, Las Vegas, NV 89121-6416 | 2016-06-29 |
1831644764 | Faith Ramos | Assisted Living Facility | 4504 La Roca Cir, Las Vegas, NV 89121-6416 | 2016-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
Find all providers in zip 89121 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
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. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376164301 | Sachele Senior Guest Home | Custodial Care Facility | 3397 El Camino Real, Las Vegas, NV 89121-3424 | 2020-04-30 |
1902444557 | Adult Care Home LLC | Custodial Care Facility | 10315 Queensbury Ave, Las Vegas, NV 89135-2132 | 2019-12-13 |
1821634882 | Golden Sunshine Alzheimers Care | Custodial Care Facility | 309 La Rue Ct, Las Vegas, NV 89145-4170 | 2019-11-25 |
1497391635 | Sunlight Garden Group LLC | Custodial Care Facility | 950 Garden Breeze Way, Las Vegas, NV 89123-3630 | 2019-11-22 |
1922644459 | Golden Years Residential Care Facility, LLC | Custodial Care Facility | 8920 Loggers Mill Ave, Las Vegas, NV 89143-5423 | 2019-11-19 |
1326682667 | Golden Sunshine Alzheimer's Home Care, Inc. | Custodial Care Facility | 7765 Clearwood Ave, Las Vegas, NV 89123-0301 | 2019-10-30 |
1902457021 | At Nightingales LLC | Custodial Care Facility | 813 Fairway Dr, Las Vegas, NV 89107-2012 | 2019-09-20 |
1104485481 | Silverado Ranch Memory Care, Inc. | Custodial Care Facility | 248 Barletta Ave, Las Vegas, NV 89123-7410 | 2019-06-10 |
1912565482 | Synergy Usa, LLC | Custodial Care Facility | 8204 Cabin Springs Ave, Las Vegas, NV 89131-4622 | 2019-05-30 |
1467913335 | Advanced Care for The Elderly, LLC | Custodial Care Facility | 9501 Mulroona Ct, Las Vegas, NV 89129-6921 | 2019-03-25 |
Find all providers in LAS VEGAS |
Please comment or provide details below to improve the information on ALTERNATIVE CARE HOME.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.