Complete Care Group Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COMPLETE CARE GROUP HOME

Practice address

2437 High Vista Cir
Henderson, NV 89014-3707

Phone

(702) 449-0122

NPI assigned

Mar 14, 2016

Organization subpart

No

Name

Dr. Stacey Cadaval, DNPNPI 1518118850

Title

Owner/Administrator

Phone

(702) 449-0122

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

• Stacey M Cadaval, NP

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1518118850
  NPD (past) Authorized official

• Paradise Palms Group Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2016.

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1134580459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 SOMBRERO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 HIGH VISTA CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890143707",
            "telephone_number": "702-449-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "CADAVAL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "702-449-0122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518118850",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Palms Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Kaitlyn Colson, PHD
• Comfortably Cared Hospice
• Common Sense Behavioral Health
• Community of Nevada Diagnostics, LLC
• Community Placements of Nevada LLC
• Complete Family Care Center, LLC
• Complete Family Care Medical, PPLC
• Complete Health and Wellness
• Complete Medical Consultants, LLC
• Complete Pain Management & Rehabilitation LLC

• All providers in Henderson, NV
• Assisted Living Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.