A Home Away From Home, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

A HOME AWAY FROM HOME, LLC

Doing business as

Away From Home Adult Care

Practice address

1040 Via Dell Bacio Dr
Henderson, NV 89052-8728

Phone

(702) 415-3284

NPI assigned

Oct 2, 2023

Last updated

Oct 2, 2023By 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

Brien Sonson

Title

Managing Member

Phone

(702) 415-3284

Specialties & licenses 1

Addresses

Other names 1

• Away From Home Adult Care Doing business as

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1285414813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 VIA DELL BACIO DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528728",
            "telephone_number": "702-415-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 VIA DELL BACIO DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528728",
            "telephone_number": "702-415-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HOME AWAY FROM HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "SONSON",
        "authorized_official_first_name": "BRIEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-415-3284"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Away From Home Adult Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Henderson, NV
• Providers in Henderson, 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 Oct 2, 2023; 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.