Elkhorn Jones Memory Care LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

ELKHORN JONES MEMORY CARE LLC

Practice address

6017 Elkhorn Rd
Las Vegas, NV 89131-3019

Phone

(702) 444-4062

Fax

(702) 778-6831

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Nichole Crock, RFA

Title

Administrator

Phone

(702) 858-4559

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1275198749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 ELKHORN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891313019",
            "telephone_number": "702-444-4062",
            "fax_number": "702-778-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6017 ELKHORN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891313019",
            "telephone_number": "702-444-4062",
            "fax_number": "702-778-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHORN JONES MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "CROCK",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-858-4559",
        "authorized_official_credential": "RFA"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Elizondo
• Karime Elizondo
• Melanie Elizondo
• Eljen Medical Hospital
• George M Elkanich, MD
• Elkhorn Surgery Center LLC
• Maria Koster Elkington-Fowler, M. COUNS
• Alexa Elkington, MS
• Anna Melissa Elkins
• Daniel R Elkins Jr.

• Alzheimer Center (Dementia Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Alzheimer Center (Dementia Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.