NPIMap

Organization Active NPI

Carefree Assisted Living LLC

  • Health Maintenance Organization
  • Las Vegas, NV
National Provider Identifier
1275940678
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
NV20131689889 Issued in NV
Legal business name
CAREFREE ASSISTED LIVING LLC
Practice address
3430 E Flamingo Rd
Suite 348
Las Vegas, NV 89121
Phone
(702) 771-0304
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Clifford Etienne
Title
Director
Phone
(702) 771-0304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NV20131689889 NV Primary

Addresses

Primary practice location

3430 E Flamingo Rd
Suite 348
Las Vegas, NV 89121

Mailing address

3430 E Flamingo Rd
Suite 348
Las Vegas, NV 89121
Phone (702) 771-0304

Other names 1

  • Silver State Specialty Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carefree Assisted Living LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1275940678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD",
            "address_2": "SUITE 348",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89121",
            "telephone_number": "702-771-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD",
            "address_2": "SUITE 348",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89121",
            "telephone_number": "702-771-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFREE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-771-0304"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NV",
            "license": "NV20131689889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver State Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 17, 2014; 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.