Organization Active NPI

Kangtai LLC

  • Adult Day Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1013533512
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
KANGTAI LLC
Practice address
4545 Spring Mountain Rd Ste 111-112
Las Vegas, NV 89102-8730
Phone
(702) 463-9988
NPI assigned
Jun 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Sandy Kang
Title
Administrator
Phone
(702) 889-8988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

4545 Spring Mountain Rd Ste 111-112
Las Vegas, NV 89102-8730

Mailing address

4681 Spring Mountain Rd
Las Vegas, NV 89102-8723
Phone (702) 889-8988

Other names 1

  • Kangtai Adult Day Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

4545 Spring Mountain Rd
Ste 111112
Las Vegas, NV 89102
Phone (702) 463-9988

4681 Spring Mountain Rd
Las Vegas, NV 89102

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1013533512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4681 SPRING MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028723",
            "telephone_number": "702-889-8988",
            "fax_number": "702-889-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 SPRING MOUNTAIN RD STE 111-112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028730",
            "telephone_number": "702-463-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANGTAI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-889-8988"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kangtai Adult Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 19, 2020; 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.