The Victorian Center, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE VICTORIAN CENTER, LLC

Practice address

1895 Priscilla St
Las Vegas, NV 89156-7118

Phone

(702) 595-2268

Fax

(702) 982-6096

NPI assigned

Mar 6, 2019

Last updated

Mar 6, 2019By 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

Maria F Antonio

Title

Administrator

Phone

(702) 595-2268

Specialties & licenses 1

Addresses

Other names 1

• The Victorian Center, LLC II Other name

Tax ID family

The Victorian Center 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.

• The Victorian Center, LLC

  • Assisted Living Facility
  • Las Vegas, NV
  • NPI 1013490366
  NPD tax ID

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1326506510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WHITEWIND LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105233",
            "telephone_number": "702-459-2567",
            "fax_number": "702-982-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 PRISCILLA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891567118",
            "telephone_number": "702-595-2268",
            "fax_number": "702-982-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VICTORIAN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "ANTONIO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-595-2268"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Victorian Center, LLC II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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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 Mar 6, 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.