ADULT CARE HOME LLC (NPI# 1902444557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902444557 |
| Entity Type | Organization |
| Organization Name | ADULT CARE HOME LLC |
| Practice Address |
10315 Queensbury Ave Las Vegas NV 89135-2132 |
| Mailing Address |
11838 Cogoleto Ave Las Vegas NV 89138-4687 |
| Practice Telephone | 7026294663 |
| Practice Fax Number | 7028184663 |
| Mailing Telephone | 7027695951 |
| Mailing Fax Number | 7028184663 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-15 |
| Authorized Official Name | MS. KARPAL K PANNU (PRESIDENT) |
| Authorized Official Telephone | 7027695951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 9005059025 | 05 |
| Other Name | Type Code |
|---|---|
| Adult Comfort and Care Home 2 | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ADULT CARE HOME LLC | 27104 117th Pl Se, Kent, WA 98030-8648 |
| Street Address |
10315 QUEENSBURY AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89135-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743083 | Summerlin Medical | Durable Medical Equipment & Medical Supplies | 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 | 2020-02-28 |
| 1902363344 | Arle Troy Ceniza Jumalon | Physical Therapist | 10401 West Charleston Blvd, Las Vegas, NV 89135 | 2019-02-21 |
| 1952887473 | Randon Ralph | Pharmacist | 10250 W.charleston Blvd, Las Vegas, NV 89135 | 2018-07-17 |
| 1528463981 | Century Vision Center, Chtd. | Optometrist | 10870 W. Charleston Blvd, Ste 105, Las Vegas, NV 89135 | 2014-10-28 |
| 1669808390 | Nourollah Ghahreman | Internal Medicine | 3291 Mission Creek Court, Las Vegas, NV 89135 | 2013-09-26 |
| 1033485560 | Jessica L Benesh | Speech-Language Pathologist | 11053 Crystal Crest Court, Las Vegas, NV 89135 | 2012-03-29 |
| 1053696237 | Jaclyn Latteri | Pharmacist | 5442 Nettle Way, Las Vegas, NV 89135 | 2011-10-19 |
| 1235384033 | Nancee Larson | Registered Nurse | 3418 Antique Rose Drive, Lasvegas, NV 89135 | 2008-11-20 |
| 1528250966 | Manish P Gupta | Internal Medicine | 66 Hawkridge Drive, Las Vegas, NV 89135 | 2007-08-09 |
| 1205036134 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 11720 W Charleston Blvd, Las Vegas, NV 89135 | 2007-07-19 |
| Find all providers in zip 89135 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1215552468 | Aloho Paradise Care LLC | Assisted Living Facility | 1809 Westwind Rd, Las Vegas, NV 89146-0304 | 2020-06-13 |
| 1740803857 | Arlene Rochalski | Assisted Living Facility | 4460 Marlena Cir, Las Vegas, NV 89108-2004 | 2020-05-22 |
| 1528680725 | Nevada Memory Care & Assisted Living Centers LLC | Assisted Living Facility | 2299 Montessouri St, Las Vegas, NV 89117-2813 | 2020-05-11 |
| 1386279164 | Mindful Caring LLC | Assisted Living Facility | 3940 Waterford Ln, Las Vegas, NV 89119-0842 | 2020-03-11 |
| 1083248892 | St Jeremiah LLC | Assisted Living Facility | 3918 Cherokee Ave E, Las Vegas, NV 89121-4511 | 2020-03-02 |
| 1184261984 | Best Care Inc. | Assisted Living Facility | 3212 El Camino Rd, Las Vegas, NV 89146-6624 | 2019-11-30 |
| 1194360040 | Addison Holdings, Inc. | Assisted Living Facility | 9651 Trattoria St, Las Vegas, NV 89178-8262 | 2019-11-14 |
| 1447891528 | Quality Care 4 Seniors LLC | Assisted Living Facility | 4369 Adelphi Ave, Las Vegas, NV 89120-2136 | 2019-09-30 |
| 1043863822 | Gge Enterprises LLC Sunshine Care Home I&ii | Assisted Living Facility | 3045 S Tioga Way, Las Vegas, NV 89117-3218 | 2019-07-20 |
| 1225699770 | Maide LLC | Assisted Living Facility | 1505 Duneville St, Las Vegas, NV 89146-1269 | 2019-06-25 |
| Find all providers in LAS VEGAS | ||||
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| 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.