Embry Ridge Senior Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EMBRY RIDGE SENIOR CARE LLC

Practice address

5313 Padua Way
Las Vegas, NV 89107-0404

Phone

(702) 258-1669

NPI assigned

Dec 9, 2024

Last updated

Dec 10, 2024By 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

Erika Vergara

Title

Owner

Phone

(916) 230-2675

Specialties & licenses 1

Addresses

Tax ID family

Embry Ridge Senior Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Embry Ridge Senior Care LLC

  • Adult Care Home Facility
  • Las Vegas, NV
  • NPI 1558933846
  NPD tax ID

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1841006202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 OCTAVE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396746",
            "telephone_number": "916-230-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5313 PADUA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891070404",
            "telephone_number": "702-258-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRY RIDGE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-230-2675"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emeka O Iroha MD a Professional Corporation (A P Medical Group)

• Assisted Living Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Assisted Living Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.