NPIMap

Organization Active NPI

Holy Angel Care Home, LLC

  • Adult Care Home Facility
  • North Las Vegas, NV
National Provider Identifier
1578047429
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HOLY ANGEL CARE HOME, LLC
Practice address
1517 Gentle Brook St
North Las Vegas, NV 89084-2031
Phone
(702) 443-1964
NPI assigned
Sep 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Rosalie AquinoNPI 1437508652
Title
Manager
Phone
(702) 443-1964

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)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1517 Gentle Brook St
North Las Vegas, NV 89084-2031

Mailing address

1517 Gentle Brook St
North Las Vegas, NV 89084-2031

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1578047429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 GENTLE BROOK ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 GENTLE BROOK ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842031",
            "telephone_number": "702-443-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY ANGEL CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-443-1964"
    },
    "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 North 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 17, 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.