Organization Active NPI

Aged Living Facility

  • Respite Care
  • Las Vegas, NV
National Provider Identifier
1770280505
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
AGED LIVING FACILITY
Practice address
7754 Whitesboro CT
Las Vegas, NV 89139-5794
Phone
(254) 275-2789
Fax
(866) 776-8014
NPI assigned
Feb 13, 2023
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Linh Nguyen
Title
Owner
Phone
(254) 275-2789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

7754 Whitesboro CT
Las Vegas, NV 89139-5794

Mailing address

7754 Whitesboro CT
Las Vegas, NV 89139-5794
Phone (254) 275-2789

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1770280505",
    "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": "254-275-2789",
            "fax_number": "866-776-8014"
        },
        {
            "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": "254-275-2789",
            "fax_number": "866-776-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2025-09-11",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-275-2789"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "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 Sep 11, 2025; 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.