Organization Active NPI

Saint Anne Residential Care Corp.

  • Adult Care Home Facility
  • Las Vegas, NV
National Provider Identifier
1346006194
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SAINT ANNE RESIDENTIAL CARE CORP.
Practice address
3158 Kingspoint Ave
Las Vegas, NV 89120-1977
Phone
(702) 433-9470
Fax
(855) 745-6464
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Mrs. Blaise Buquiran Dela Pena
Title
Manager
Phone
(928) 546-4584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

3158 Kingspoint Ave
Las Vegas, NV 89120-1977

Mailing address

3158 Kingspoint Ave
Las Vegas, NV 89120-1977
Phone (702) 433-9470

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1346006194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 KINGSPOINT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201977",
            "telephone_number": "702-433-9470",
            "fax_number": "702-867-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3158 KINGSPOINT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201977",
            "telephone_number": "702-433-9470",
            "fax_number": "855-745-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANNE RESIDENTIAL CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "DELA PENA",
        "authorized_official_first_name": "BLAISE",
        "authorized_official_middle_name": "BUQUIRAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-546-4584",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 24, 2025; 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.