A & J Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

49AGC-13 Issued in NV

Legal business name

A & J CARE HOME

Practice address

5217 W Gowan Rd
Las Vegas, NV 89130-3118

Phone

(702) 645-2291

Fax

(702) 395-6105

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By 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

Ms. Jean Montales Timbol

Title

Owner

Phone

(702) 755-9833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1306032727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 W GOWAN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303118",
            "telephone_number": "702-645-2291",
            "fax_number": "702-395-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 W GOWAN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303118",
            "telephone_number": "702-645-2291",
            "fax_number": "702-395-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & J CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "TIMBOL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MONTALES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-755-9833",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NV",
            "license": "49AGC-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Assisted Living Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.