Active NPI
American Senior Home LLC
Doing business as American Senior Home
- Alzheimer Center (Dementia Center)
- Las Vegas, NV
National Provider Identifier
1538614961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- License
- 8576-AGC-0
- Legal business name
- AMERICAN SENIOR HOME LLC
- Doing business as
- American Senior Home
- Practice address
- 185 E Windmill LN
Las Vegas, NV 89123-1716 - Phone
- (702) 444-0792
- NPI assigned
- Aug 15, 2016
- Last updated
- Aug 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isaac Farah
- Title
- Member
- Phone
- (702) 403-3661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | 8576-AGC-0 | NV | Primary |
Addresses
Primary practice location
185 E Windmill LN
Las Vegas, NV 89123-1716
Mailing address
185 E Windmill LN
Las Vegas, NV 89123-1716
Phone (702) 403-3661
Other names 1
- AMERICAN SENIOR HOME
National Provider Directory
National Provider DirectoryLocations
185 E Windmill Ln
Las Vegas, NV 89123
Phone (323) 251-7313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471219200000",
"number": "1538614961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 E WINDMILL LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891231716",
"telephone_number": "702-403-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 E WINDMILL LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891231716",
"telephone_number": "702-444-0792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN SENIOR HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-15",
"last_updated": "2016-08-15",
"status": "A",
"authorized_official_last_name": "FARAH",
"authorized_official_first_name": "ISAAC",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "702-403-3661"
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "NV",
"license": "8576-AGC-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AMERICAN SENIOR HOME",
"code": "3",
"type": "Doing Business As"
}
]
}
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- American Specialty Lab LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.