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ALTERNATIVE CARE HOME NPI 1598238164


NPI Information

NPI: 1598238164
Provider Name: ALTERNATIVE CARE HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 29D2221444

Address:
4504 LA ROCA CIR
LAS VEGAS, NV
ZIP 89121
Phone: (702) 912-4744
Get Directions

ALTERNATIVE CARE HOME is an adult care home custodial care facility in Las Vegas, NV. The provider is 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. ALTERNATIVE CARE HOME NPI is 1598238164. The provider is registered as an organization entity type.

The provider's business location address is:

4504 LA ROCA CIR
LAS VEGAS, NV
ZIP 89121-416
Phone: (702) 912-4744
Fax: (702) 912-4744

The provider's authorized official is Janyvill Ruiz .
The authorized official title is Owner and has the following contact phone number (702) 301-8862.

The CLIA number assigned to this NPI record is 29D2221444 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2019 and was last updated on 1/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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