Grace of Angel Park LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GRACE OF ANGEL PARK LLC

Doing business as

Grace of Monaco Angel Park
Grace of Monaco Section 10

Practice address

8617 Highland View Ave
Las Vegas, NV 89145-5709

Phone

(702) 232-4602

Fax

(702) 331-9187

NPI assigned

Aug 17, 2021

Last updated

Aug 17, 2021By 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

Mrs. Grace Garcia

Title

Managing Member

Phone

(702) 232-4602

Specialties & licenses 1

Addresses

Other names 2

• Grace of Monaco Angel Park Doing business as
• Grace of Monaco Section 10 Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1770259129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 RANCHO MIRAGE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131239",
            "telephone_number": "702-232-4602",
            "fax_number": "702-331-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8617 HIGHLAND VIEW AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455709",
            "telephone_number": "702-232-4602",
            "fax_number": "702-331-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE OF ANGEL PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-232-4602",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "graceofmonaco@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8617 Highland View Ave",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891455709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grace of Monaco Angel Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace of Monaco Section 10",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Care Home Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.