Organization Active NPI

Elegant Escape Hospiality, LLC

  • Assisted Living Facility
  • Las Vegas, NV
National Provider Identifier
1770472573
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ELEGANT ESCAPE HOSPIALITY, LLC
Practice address
3001 Lake East Dr Apt 1011
Las Vegas, NV 89117-2207
Phone
(702) 342-2533
NPI assigned
Jun 28, 2025
Last updated
Jun 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Authorized official

Name
Simone DavisNPI 1124836689
Title
Owner/Director
Phone
(702) 342-2533

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
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3001 Lake East Dr Apt 1011
Las Vegas, NV 89117-2207

Mailing address

3001 Lake East Dr Apt 1011
Las Vegas, NV 89117-2207
Phone (702) 342-2533

Other names 1

  • Elegant Escape Homes Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1770472573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 LAKE EAST DR APT 1011",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172207",
            "telephone_number": "702-342-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 LAKE EAST DR APT 1011",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172207",
            "telephone_number": "702-342-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT ESCAPE HOSPIALITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "702-342-2533"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elegant Escape Homes",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 28, 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.