NPIMap

Organization Active NPI

St Jean Senior Care

  • Alzheimer Center (Dementia Center)
  • Las Vegas, NV
National Provider Identifier
1518209329
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
5936AGZ-2 Issued in NV
Legal business name
ST JEAN SENIOR CARE
Practice address
6924 Acoma CT
Las Vegas, NV 89145-5305
Phone
(702) 489-9297
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Mr. Robert Ilagan St Jean
Title
Owner
Phone
(702) 489-9297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 5936AGZ-2 NV Primary

Addresses

Primary practice location

6924 Acoma CT
Las Vegas, NV 89145-5305

Mailing address

6924 Acoma CT
Las Vegas, NV 89145-5305
Phone (702) 489-9297

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1518209329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 ACOMA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455305",
            "telephone_number": "702-489-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6924 ACOMA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455305",
            "telephone_number": "702-489-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JEAN SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "ST JEAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ILAGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-489-9297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NV",
            "license": "5936AGZ-2",
            "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 Mar 19, 2013; 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.