Organization Active NPI

The Victorian Center, LLC

  • Assisted Living Facility
  • Las Vegas, NV
National Provider Identifier
1013490366
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE VICTORIAN CENTER, LLC
Practice address
11 Whitewind LN
Las Vegas, NV 89110-5233
Phone
(702) 459-2567
Fax
(702) 982-6096
NPI assigned
Sep 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria Fe Antonio
Title
Administrator
Phone
(702) 459-2567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11 Whitewind LN
Las Vegas, NV 89110-5233

Mailing address

11 Whitewind LN
Las Vegas, NV 89110-5233
Phone (702) 459-2567

Other names 1

  • The Victorian Center, LLC I Other name

National Provider Directory

National Provider Directory
Tax ID family
The Victorian Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1013490366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WHITEWIND LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105233",
            "telephone_number": "702-459-2567",
            "fax_number": "702-982-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WHITEWIND LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105233",
            "telephone_number": "702-459-2567",
            "fax_number": "702-982-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VICTORIAN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "ANTONIO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "FE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-459-2567"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Victorian Center, LLC I",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.