Organization Active NPI

Las Vegas Alzheimer and Memory Care

  • Adult Care Home Facility
  • Las Vegas, NV
National Provider Identifier
1487139556
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LAS VEGAS ALZHEIMER AND MEMORY CARE
Practice address
3224 Brazos St
Las Vegas, NV 89169-3205
Phone
(702) 471-7204
Fax
(702) 892-9516
NPI assigned
Sep 25, 2018
Last updated
Sep 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Chris TanNPI 1366997694
Title
President
Phone
(702) 471-7204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3224 Brazos St
Las Vegas, NV 89169-3205

Mailing address

3224 Brazos St
Las Vegas, NV 89169-3205
Phone (702) 471-7204

National Provider Directory

National Provider Directory
Tax ID family
Las Vegas Alzheimer and Memory Care2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1487139556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 BRAZOS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693205",
            "telephone_number": "702-471-7204",
            "fax_number": "702-892-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 BRAZOS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693205",
            "telephone_number": "702-471-7204",
            "fax_number": "702-892-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS ALZHEIMER AND MEMORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-471-7204"
    },
    "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 Sep 25, 2018; 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.