Mimi'S Care Home, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MIMI'S CARE HOME, LLC

Practice address

3055 S Pioneer Way
Las Vegas, NV 89117-3244

Phone

(702) 767-5220

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Mimi Asfaw

Title

Managing Member

Phone

(702) 767-5220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1184111007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 S PIONEER WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173244",
            "telephone_number": "702-767-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 S PIONEER WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173244",
            "telephone_number": "702-767-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMI'S CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ASFAW",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-767-5220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra Milton
• Janice Milton
• Kathleen Denise Milton
• Latoya Milton
• Mimcr
• Eniko Mimless
• Antoinette Mims, CHW
• Austin Mims
• Charlene Mims
• Demario Marshun Mims

• 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 16, 2018; 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.