Daniel Alexander LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

DANIEL ALEXANDER LLC

Doing business as

A Benevolent Heart Care Home

Practice address

508 Pearberry Ave
Las Vegas, NV 89183-7219

Phone

(702) 897-0925

Fax

(702) 897-0926

NPI assigned

Nov 29, 2019

Last updated

Nov 29, 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

Roy Deguzman Desamito

Title

Member / Facility Manager

Phone

(702) 897-0925

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Benevolent Heart Care Home Doing business as

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574985600000",
    "number": "1417594284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 PEARBERRY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837219",
            "telephone_number": "702-897-0925",
            "fax_number": "702-897-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 PEARBERRY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837219",
            "telephone_number": "702-897-0925",
            "fax_number": "702-897-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL ALEXANDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A",
        "authorized_official_last_name": "DESAMITO",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "DEGUZMAN",
        "authorized_official_title_or_position": "MEMBER / FACILITY MANAGER",
        "authorized_official_telephone_number": "702-897-0925"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV DEPT HEALTH & HUMAN SERVICES / DIV OF PUBLIC & BEHAVIORAL HEALTH",
            "identifier": "9793-AGC",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Benevolent Heart Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Dangerfield
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• Daniel L. Burkhead, M.D. LTD (Innovative Pain Care Center)
• Daniel L. Burkhead, MD LTD (Innovative Pain Care Center)
• Daniel Ledee (Southwest Hearing Center)
• Daniel M. Antonino Prof. Corp. (Performance Physical Therapy)

• Adult Care Home Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Care Home Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.