Organization Active NPI

Quality of Life Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1285294850
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
QUALITY OF LIFE ADULT DAY CARE LLC
Practice address
5900 W Charleston Blvd Ste 8
Las Vegas, NV 89146-1143
Phone
(702) 333-1470
Fax
(702) 822-6100
NPI assigned
Jun 17, 2019
Last updated
Jun 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Hector CarrilloNPI 1881284032
Title
Director
Phone
(702) 333-1470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

5900 W Charleston Blvd Ste 8
Las Vegas, NV 89146-1143

Mailing address

5900 W Charleston Blvd Ste 8
Las Vegas, NV 89146-1143
Phone (702) 333-1470

Other identifiers 1

IdentifierTypeStateIssuer
9047-ADC-0OtherNVDEPARTMENT OF PUBLIC AND BEHAVIORAL HEALTH

Other names 1

  • Quality of Life Adult Day Care LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Quality of Life Adult Day Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1285294850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 W CHARLESTON BLVD STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461143",
            "telephone_number": "702-333-1470",
            "fax_number": "702-822-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 W CHARLESTON BLVD STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461143",
            "telephone_number": "702-333-1470",
            "fax_number": "702-822-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-333-1470"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC AND BEHAVIORAL HEALTH",
            "identifier": "9047-ADC-0",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality of Life Adult Day Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 17, 2019; 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.