Organization Active NPI

Paradise Memory Care

  • Adult Care Home Facility
  • Las Vegas, NV
National Provider Identifier
1629670450
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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

Updated by the provider on Nov 16, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.