Villas of Las Vegas LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VILLAS OF LAS VEGAS LLC

Practice address

9230 Corbett St # 102
Las Vegas, NV 89149-2337

Phone

(718) 791-4705

NPI assigned

Jun 18, 2020

Organization subpart

No

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

Authorized official

Name

Michele Goldman

Title

Manager

Phone

(718) 791-4705

Specialties & licenses 1

Addresses

Other names 1

• The Villas at Centennial Hills Doing business as

Tax ID family

The Villas at Centennial Hills2 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.

• Villas of Las Vegas LLC

  • Skilled Nursing Facility
  • Las Vegas, NV
  • NPI 1245704626
  NPD tax ID

Locations

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1093331746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 CORBETT ST # 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891492337",
            "telephone_number": "718-791-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 CORBETT ST # 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891492337",
            "telephone_number": "718-791-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAS OF LAS VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-791-4705"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villas at Centennial Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yazmin Villarreal, RN
• Shanae Villarruel
• Angeline Villarta
• Donaldo Manuel Villarta Jr., RPH
• Loida Villaruel
• Villas of Las Vegas LLC
• Claudia Villasante
• Maria Guadalupe Villasenor Villa
• Valeria Villasenor-
• Nancy Villasenor-Calderon

• Skilled Nursing Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Skilled Nursing Facility in Nevada

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