Active NPI
Alternative Care Home
- Adult Care Home Facility
- Las Vegas, NV
National Provider Identifier
1598238164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- ALTERNATIVE CARE HOME
- Practice address
- 4504 La Roca Cir
Las Vegas, NV 89121-6416 - Phone
- (702) 912-4744
- Fax
- (702) 912-4744
- NPI assigned
- Jan 7, 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
- Janyvill Ruiz
- Title
- Owner
- Phone
- (702) 301-8862
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
4504 La Roca Cir
Las Vegas, NV 89121-6416
Mailing address
4504 La Roca Cir
Las Vegas, NV 89121-6416
Phone (702) 912-4744
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2221444 | Alternative Home Care LLC | Certificate of waiver | Apr 20, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Assisted Living Facility
- Las Vegas, NV
- NPI 1831644764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546819200000",
"number": "1598238164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4504 LA ROCA CIR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891216416",
"telephone_number": "702-912-4744",
"fax_number": "702-912-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4504 LA ROCA CIR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891216416",
"telephone_number": "702-912-4744",
"fax_number": "702-912-4744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTERNATIVE CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-07",
"status": "A",
"authorized_official_last_name": "RUIZ",
"authorized_official_first_name": "JANYVILL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-301-8862"
},
"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 Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.