NPIMap

Organization Active NPI

Vegas Adult Daycare, Inc

Doing business as Vegas Adult Day Care

  • Adult Day Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1659818839
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
8408-ADC-1 Issued in NV
Legal business name
VEGAS ADULT DAYCARE, INC
Doing business as
Vegas Adult Day Care
Practice address
1401 Arville St
Las Vegas, NV 89102-0054
Phone
(702) 738-0514
Fax
(702) 527-7698
NPI assigned
Jan 25, 2017
Organization subpart
Yes
Parent organization
VEGAS ADULT DAY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Myong W KimNPI 1811441892
Title
Owner
Phone
(702) 738-0514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 8408-ADC-1 NV Primary

Addresses

Primary practice location

1401 Arville St
Las Vegas, NV 89102-0054

Mailing address

1130 Sharon Rd
Las Vegas, NV 89106-2036
Phone (702) 738-0514

Other names 1

  • Vegas Adult Day Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vegas Adult Daycare Inc2 organizations share this tax ID, including this one
Part of
Vegas Adult Daycare Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1401 Arville St
Las Vegas, NV 89102
Phone (702) 738-0514

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1659818839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SHARON RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062036",
            "telephone_number": "702-738-0514",
            "fax_number": "702-527-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ARVILLE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020054",
            "telephone_number": "702-738-0514",
            "fax_number": "702-527-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS ADULT DAYCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VEGAS ADULT DAY CARE",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MYONG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-738-0514"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NV",
            "license": "8408-ADC-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vegas Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 25, 2017; 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.