Organization Active NPI

Palms Care Home,LLC

  • Alzheimer Center (Dementia Center)
  • Las Vegas, NV
National Provider Identifier
1295228922
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
PALMS CARE HOME,LLC
Doing business as
Palms Care Home
Practice address
8351 W Hammer LN
Las Vegas, NV 89149-4606
Phone
(702) 994-0857
Fax
(702) 476-8933
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Lourdes Manguino
Title
Owner
Phone
(702) 994-0857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

8351 W Hammer LN
Las Vegas, NV 89149-4606

Mailing address

11745 Stonewall Springs Ave
Las Vegas, NV 89138-1577
Phone (702) 994-0857

Other names 1

  • Palms Care Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1295228922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11745 STONEWALL SPRINGS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381577",
            "telephone_number": "702-994-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8351 W HAMMER LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494606",
            "telephone_number": "702-994-0857",
            "fax_number": "702-476-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS CARE HOME,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "MANGUINO",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-994-0857"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palms Care Home",
            "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 Nov 15, 2018; 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.