Active NPI
Paradise Memory Care
- Adult Care Home Facility
- Las Vegas, NV
National Provider Identifier
1629670450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- PARADISE MEMORY CARE
- Practice address
- 243 Saxondale Ave
Las Vegas, NV 89123-6010 - Phone
- (725) 600-7675
- NPI assigned
- Nov 16, 2020
- 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
- Cristina Lazar-Lopez
- Title
- Facility Manager
- Phone
- (702) 235-2584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
243 Saxondale Ave
Las Vegas, NV 89123-6010
Mailing address
243 Saxondale Ave
Las Vegas, NV 89123-6010
Phone (725) 600-7675
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605484800000",
"number": "1629670450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 SAXONDALE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891236010",
"telephone_number": "725-600-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 SAXONDALE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891236010",
"telephone_number": "725-600-7675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE MEMORY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A",
"authorized_official_last_name": "LAZAR-LOPEZ",
"authorized_official_first_name": "CRISTINA",
"authorized_official_title_or_position": "FACILITY MANAGER",
"authorized_official_telephone_number": "702-235-2584"
},
"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
- Paradise Healthcare Services, Inc.
- Paradise Healthcare Services, Inc. Dba Paradise Home Care
- Paradise Home Health LLC
- Paradise LV Nielson PDC PLLC
- Paradise Medical Enterprises
- Paradise Mental Health Services LLC
- Paradise Mental Therapy LLC
- Paradise Orthodontics
- Paradise Park Children'S Dental Clinic
- Paradise Park Place LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.