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VEGAS ADULT DAY CARE NPI 1619421690


NPI Information

NPI: 1619421690
Provider Name: VEGAS ADULT DAY CARE
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 29D2148988

Address:
1401 ARVILLE ST
LAS VEGAS, NV
ZIP 89102
Phone: (702) 738-0514
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VEGAS ADULT DAY CARE is an adult day care clinic center in Las Vegas, NV. VEGAS ADULT DAY CARE NPI is 1619421690. The provider is registered as an organization entity type.

The provider's business location address is:

1401 ARVILLE ST
LAS VEGAS, NV
ZIP 89102-054
Phone: (702) 738-0514

The provider's authorized official is Myong Wook Kim .
The authorized official title is Owner and has the following contact phone number (702) 738-0514.

The CLIA number assigned to this NPI record is 29D2148988 - other - adult day hlth care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2016 and was last updated on 8/8/2016.


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
1261QA0600XClinic/CenterAdult Day Care8408-ADC-0NEVADAYes

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: 4/28/2024

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