St Jeremiah LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ST JEREMIAH LLC

Doing business as

ST JEREMIAH CARE HOME

Practice address

3918 Cherokee Ave E
Las Vegas, NV 89121-4511

Phone

(702) 542-9258

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Marieta Emelo

Title

Owner

Phone

(702) 542-9258

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ST JEREMIAH CARE HOME Doing business as

Electronic endpoints 2

Tax ID family

St Jeremiah Care Home2 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.

• St Jeremiah LLC

  • Alzheimer Center (Dementia Center)
  • Las Vegas, NV
  • NPI 1609494756
  NPD tax ID

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1083248892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 CHEROKEE AVE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 CHEROKEE AVE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214511",
            "telephone_number": "702-542-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JEREMIAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "EMELO",
        "authorized_official_first_name": "MARIETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-542-9258"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMV",
            "identifier": "2102248869",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Nevada",
            "affiliation": "N",
            "address_1": "3918 Cherokee Ave E",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891214511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nevada",
            "affiliation": "N",
            "address_1": "3918 Cherokee Ave E",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891214511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ST JEREMIAH CARE HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Randolph St Hill, M.D., MSC
• St James Home Health Care LLC
• St Jean Senior Care
• Christine St Jean
• Robert Ilagan St Jean, PMHNP-BC
• St Jeremiah LLC
• St John Home Health LLC
• St Jude Home Care, Inc
• St Jude Sleep Solutions
• Michael David St Laurent, DMD

• Assisted Living Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Assisted Living Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.