Short Term House 1 of NV LLC

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

SHORT TERM HOUSE 1 OF NV LLC

Practice address

4417 Isabella Ave
Las Vegas, NV 89110-4664

Phone

(702) 205-8968

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Maimouna R Cantrall

Title

Owner

Phone

(702) 208-2194

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1316608797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E DESERT INN RD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692505",
            "telephone_number": "702-208-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 ISABELLA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104664",
            "telephone_number": "702-205-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT TERM HOUSE 1 OF NV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "CANTRALL",
        "authorized_official_first_name": "MAIMOUNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-208-2194"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lodging Provider in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Lodging Provider in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.