NPIMap

Organization Active NPI

Sweet Home Belmont LLC

  • Assisted Living Facility
  • Henderson, NV
National Provider Identifier
1053885467
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SWEET HOME BELMONT LLC
Practice address
2908 Belmont Dr
Henderson, NV 89074-6509
Phone
(702) 473-9752
Fax
(702) 489-9752
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Mikyoung Lee, 5462-AGC-14NPI 1871071142
Title
Manager/Registered Agent
Phone
(702) 277-7756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2908 Belmont Dr
Henderson, NV 89074-6509

Mailing address

2908 Belmont Dr
Henderson, NV 89074-6509
Phone (702) 473-9752

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1053885467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 BELMONT DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746509",
            "telephone_number": "702-473-9752",
            "fax_number": "702-489-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 BELMONT DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746509",
            "telephone_number": "702-473-9752",
            "fax_number": "702-489-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET HOME BELMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MIKYOUNG",
        "authorized_official_title_or_position": "MANAGER/REGISTERED AGENT",
        "authorized_official_telephone_number": "702-277-7756",
        "authorized_official_credential": "5462-AGC-14"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.