King David Group Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

KING DAVID GROUP HOME LLC

Practice address

4130 Manford Dr
Las Vegas, NV 89104-5404

Phone

(702) 728-7291

NPI assigned

Feb 20, 2024

Last updated

Feb 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan B JaureguiNPI 1972792075

Title

Staff

Phone

(702) 266-7277

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan B Jauregui, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1972792075
  NPD Authorized official

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1265297931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 MANFORD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045404",
            "telephone_number": "702-728-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 MANFORD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045404",
            "telephone_number": "702-728-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING DAVID GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "JAUREGUI",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "STAFF",
        "authorized_official_telephone_number": "702-266-7277"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinel Family Medicine PC
• Christopher Joseph Kinel, M.D.
• Paulena Ewa Kinel, BCBA
• Kinetix Fitness Therapy
• Yadiel Kinfu
• Taylor Danita King Hughes
• King Rampart Dental Group, PC (Rampart Dental Group)
• Lisa Rochelle King-Powell
• Katia V King-Valteau, RBT
• Abigail Michelle King, RN

• 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 Feb 20, 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.