Active NPI
Manila Adult Daycare LLC
- Adult Day Care Clinic/Center
- Las Vegas, NV
National Provider Identifier
1568935567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- MANILA ADULT DAYCARE LLC
- Practice address
- 1330 Karen Ave Ste B
Las Vegas, NV 89169-1260 - Phone
- (702) 323-4020
- NPI assigned
- Jan 2, 2019
- 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
- Marichu Pizan, NP
- Title
- Director
- Phone
- (702) 331-5925
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1330 Karen Ave Ste B
Las Vegas, NV 89169-1260
Mailing address
8854 Carradori Ave
Las Vegas, NV 89148-4940
Phone (702) 239-9235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568935567 | Medicaid | NV |
National Provider Directory
National Provider Directory- Tax ID family
- Manila Adult Daycare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Las Vegas, NV
- NPI 1447829387
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Las Vegas, NV
- NPI 1497131668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1568935567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8854 CARRADORI AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891484940",
"telephone_number": "702-239-9235",
"fax_number": "866-782-8154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 KAREN AVE STE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891691260",
"telephone_number": "702-323-4020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANILA ADULT DAYCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-02",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "PIZAN",
"authorized_official_first_name": "MARICHU",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "702-331-5925",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1568935567",
"state": "NV"
}
],
"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 May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.