Quinn'S Desert Home, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

NV20141766372 Issued in NV

Legal business name

QUINN'S DESERT HOME, INC

Doing business as

Abington Manor

Practice address

478 Pearberry Ave
Las Vegas, NV 89183-7218

Phone

(702) 837-6968

Fax

(702) 837-8063

NPI assigned

Jun 10, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jose Tinio

Title

Administrator

Phone

(702) 837-6968

Specialties & licenses 1

Addresses

Other names 1

• Abington Manor Doing business as

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1255780193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 PEARBERRY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837218",
            "telephone_number": "702-837-6968",
            "fax_number": "702-837-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 PEARBERRY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837218",
            "telephone_number": "702-837-6968",
            "fax_number": "702-837-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINN'S DESERT HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "TINIO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-837-6968",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NV",
            "license": "NV20141766372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abington Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Quinn
• Nanci A Quinn, APN-BC
• Sharhonda Mercedez Quinn
• Sophia Quinn, DMD
• Victor Quinn
• Yohana Quinones Lugo
• Yosvany Melissa Quinones Serrano
• Laura Quinones Velez, M.D.
• Barbara Quinones
• Edelia Quinones

• Adult Care Home Facility in Las Vegas, NV
• Providers in Las Vegas, 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 Jun 10, 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.