NPIMap

Organization Active NPI

Vegas Adult Day Health Care

  • Adult Day Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1629388426
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
5306ADC-0 Issued in NV
Legal business name
VEGAS ADULT DAY HEALTH CARE
Practice address
3417 S Jones Blvd
Las Vegas, NV 89146-6784
Phone
(702) 768-7285
Fax
(702) 382-9359
NPI assigned
Oct 14, 2010
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Cheng Wu
Title
Co-Owner/Manager
Phone
(702) 768-7285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 5306ADC-0 NV Primary

Addresses

Primary practice location

3417 S Jones Blvd
Las Vegas, NV 89146-6784

Mailing address

3417 S. Jones Blvd
Las Vegas, NV 89146
Phone (702) 768-7285

Other identifiers 1

IdentifierTypeStateIssuer
261Q00000XMedicaidNV

National Provider Directory

National Provider Directory

Locations

3417 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 768-7285

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1629388426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 S. JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-768-7285",
            "fax_number": "702-382-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466784",
            "telephone_number": "702-768-7285",
            "fax_number": "702-382-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS ADULT DAY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "CHENG",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "702-768-7285"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NV",
            "license": "5306ADC-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261Q00000X",
            "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 Oct 14, 2010; 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.