Alta Care Home, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ALTA CARE HOME, INC

Practice address

2007 Alta Dr
Las Vegas, NV 89106-4008

Phone

(702) 384-6838

NPI assigned

Mar 26, 2024

Last updated

Mar 26, 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

Jaishree Cabatu

Title

President

Phone

(702) 707-9934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1861242273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 ALTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064008",
            "telephone_number": "702-384-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 ALTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064008",
            "telephone_number": "702-384-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA CARE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "CABATU",
        "authorized_official_first_name": "JAISHREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-707-9934"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanisha Lashae Alston, LMSW, CSW-I
• Tiffany T Alston, TIFFANY
• Braylene Alsup
• Casey Marlene Alsup
• Tamberin Ann Alt
• Alta Care Homehealth, Inc,
• Alta Care Hospice and Palliative Care Inc.
• Alta Medgen NV LLC
• Alta Medical Clinic Inc of Nevada
• Alta Oral Surgery, LLC

• 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 Mar 26, 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.