Aged Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AGED LIVING FACILITY

Practice address

7754 Whitesboro CT
Las Vegas, NV 89139-5794

Phone

(630) 765-0819

NPI assigned

Aug 3, 2022

Last updated

Aug 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linh Nguyen

Title

Owner

Phone

(630) 765-0819

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1740917343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7754 WHITESBORO CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891395794",
            "telephone_number": "630-765-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7754 WHITESBORO CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891395794",
            "telephone_number": "630-765-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-765-0819"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.