Santa Maria Adult Day Healthcare LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SANTA MARIA ADULT DAY HEALTHCARE LLC

Practice address

625 N Lamb Blvd Ste 140
Las Vegas, NV 89110-6355

Phone

(725) 780-1104

NPI assigned

Nov 23, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Lorenzo Tan Jr.

Title

Administrator

Phone

(860) 977-3215

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1629735683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N LAMB BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891106355",
            "telephone_number": "725-780-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N LAMB BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891106355",
            "telephone_number": "725-780-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MARIA ADULT DAY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-977-3215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delmer Holasca Sansub
• Sabrina S Santa Clara, LCPC, LPC, R-DMT
• Noreen Santa Cruz
• Santa Gold Realty LLC
• Francesca Santa Iglesia
• Annaleah Renee Santa Maria
• Santa Paula Chiropractic Center, Inc.
• Santa Rita Home Care Inc.
• Santa Rosa Medical Centers of Nevada, Inc
• Santa Rosa Medical Centers of Nevada, Inc

• Adult Day Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Day Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.