Organization Active NPI

Gabriel Carehome LLC

Doing business as CJ Homes

  • Assisted Living Facility (Mental Illness)
  • Las Vegas, NV
National Provider Identifier
1871360032
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
GABRIEL CAREHOME LLC
Doing business as
CJ Homes
Practice address
1627 Gabriel Dr
Las Vegas, NV 89119-6203
Phone
(702) 785-2812
NPI assigned
Dec 7, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
GABRIEL CAREHOME DBA CJ HOMESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Tess PascualNPI 1801393624
Title
President
Phone
(702) 785-2812

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 (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

1627 Gabriel Dr
Las Vegas, NV 89119-6203

Mailing address

3531 Kahala Bay LN
Las Vegas, NV 89147-6511
Phone (702) 785-2812

Other names 1

  • CJ Homes Doing business as

National Provider Directory

National Provider Directory
Part of
Gabriel Carehome LLC

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": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1871360032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 KAHALA BAY LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476511",
            "telephone_number": "702-785-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 GABRIEL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196203",
            "telephone_number": "702-785-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL CAREHOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GABRIEL CAREHOME DBA CJ HOMES",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "TESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-785-2812"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CJ Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 7, 2023; 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.