Organization Active NPI

KNR Assisted Living Services LLC

  • Respite Care
  • Las Vegas, NV
National Provider Identifier
1245696004
Registry record updated Jan 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
KNR ASSISTED LIVING SERVICES LLC
Practice address
4075 W Desert Inn Rd
Suite a
Las Vegas, NV 89102-0742
Phone
(702) 220-3499
NPI assigned
Jan 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2021

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

Authorized official

Name
Mr. Kurt Freeman Schmidt
Title
Owner
Phone
(702) 533-7443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

4075 W Desert Inn Rd
Suite a
Las Vegas, NV 89102-0742

Mailing address

4075 W Desert Inn Rd
Suite a
Las Vegas, NV 89102-0742
Phone (702) 220-3499

Other identifiers 1

IdentifierTypeStateIssuer
100511504MedicaidNV

National Provider Directory

National Provider Directory

Locations

4075 W Desert Inn Rd
Ste A
Las Vegas, NV 89102
Phone (702) 220-3499

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610755200000",
    "number": "1245696004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 W DESERT INN RD",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020742",
            "telephone_number": "702-220-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 W DESERT INN RD",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020742",
            "telephone_number": "702-220-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNR ASSISTED LIVING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "FREEMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-533-7443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511504",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.