DESERT INN RESIDENTIAL CARE (NPI# 1992256143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992256143 |
| Entity Type | Organization |
| Organization Name | DESERT INN RESIDENTIAL CARE |
| Other Organization Name | DESERT INN RESIDENTIAL CARE |
| Practice Address |
2845 Burnham Ave Las Vegas NV 89169-1793 |
| Mailing Address |
7160 Darby Ave Las Vegas NV 89117-3122 |
| Practice Telephone | 7022033450 |
| Practice Fax Number | 7022525092 |
| Mailing Telephone | 7022033450 |
| Mailing Fax Number | 7022525092 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | JASMINE CASTILLO (ADMINISTRATOR) |
| Authorized Official Telephone | 7022033450 |
| Is Organization Subpart | Y |
| Parent Organization Name | DESERT INN RESIDENTIAL CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
3119AGZ-13 | NV | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Desert Inn Residential Care | Doing Business As Name - Organization |
| Street Address |
2845 BURNHAM AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-1793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| 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 | ||||
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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.