Organization Active NPI

Livingston Home LLC

  • Alzheimer Center (Dementia Center)
  • Las Vegas, NV
National Provider Identifier
1730954835
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
LIVINGSTON HOME LLC
Practice address
5858 Palmyra Ave
Las Vegas, NV 89146-6733
Phone
(702) 858-4559
Fax
(801) 885-0572
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Mrs. Nichole R Schmal, RFA
Title
Administrator
Phone
(702) 858-4559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

5858 Palmyra Ave
Las Vegas, NV 89146-6733

Mailing address

5975 W Twain Ave
Las Vegas, NV 89103-1237
Phone (702) 368-7700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1730954835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 W TWAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031237",
            "telephone_number": "702-368-7700",
            "fax_number": "810-885-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 PALMYRA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466733",
            "telephone_number": "702-858-4559",
            "fax_number": "801-885-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "SCHMAL",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-858-4559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RFA"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "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 17, 2023; 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.