Henderson Senior Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HENDERSON SENIOR LIVING

Practice address

2690 Celebrate CT
Henderson, NV 89074-6997

Phone

(702) 235-2584

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Cristina Lazar

Title

Owner

Phone

(702) 235-2584

Specialties & licenses 1

Addresses

Tax ID family

Hampton Inn Las Vegas Convention Center2 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.

• Henderson Senior Living

  • Adult Care Home Facility
  • Henderson, NV
  • NPI 1275380990
  NPD tax ID

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1194555946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 CELEBRATE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746997",
            "telephone_number": "702-235-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 CELEBRATE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746997",
            "telephone_number": "702-235-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-235-2584"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henderson Pediatrics, LLP
• Henderson Pharmacy LLC
• Henderson Primary, Professional LLC
• Henderson Psychiatry Corporation
• Henderson Radiology, Inc.
• Henderson Senior Living
• Henderson Specialty RX LLC
• Henderson Specialty RX LLC
• Henderson Substance Abuse Treatment Center
• Henderson Sunrise Nielson PDC PLLC

• Adult Care Home Facility in Henderson, NV
• Providers in Henderson, NV by specialty
• Adult Care Home Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.