Kaes Cube of Life LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KAES CUBE OF LIFE LLC

Practice address

3909 S Maryland Pkwy Ste 305
Las Vegas, NV 89119-7520

Phone

(702) 701-8882

NPI assigned

Dec 26, 2017

Organization subpart

No

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

Authorized official

Name

Donnabelle Cooks

Title

Owner

Phone

(702) 204-2715

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1447766670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 S MARYLAND PKWY STE 305",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197520",
            "telephone_number": "702-701-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 S MARYLAND PKWY STE 305",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197520",
            "telephone_number": "702-701-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAES CUBE OF LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "COOKS",
        "authorized_official_first_name": "DONNABELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-204-2715"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Monique Kadosh
• Ragip Kadric
• Bunny Kadzombe
• Elsie Gonzales Kaecker
• Daiva Kaempfer
• Andrzej Michal Kafel, MD
• Anick Kagaju
• Christina Rae Kagan
• Christopher David Kagay, PMHNP-BC
• Kahak NV Inc

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.