NPIMap

Organization Active NPI

Forever Living Residence Home Care, LLC

  • Physical Disabilities Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1891239786
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
7507 AGC-6 Issued in NV
Legal business name
FOREVER LIVING RESIDENCE HOME CARE, LLC
Practice address
1608 Aztec Way
Las Vegas, NV 89169-3168
Phone
(702) 990-1624
NPI assigned
Dec 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Virginia Escobar
Title
Owner
Phone
(702) 331-1695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 7507 AGC-6 NV Primary

Addresses

Primary practice location

1608 Aztec Way
Las Vegas, NV 89169-3168

Mailing address

1608 Aztec Way
Las Vegas, NV 89169-3168
Phone (702) 990-1624

National Provider Directory

National Provider Directory
Tax ID family
Forever Living Residence Home 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.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1891239786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 AZTEC WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693168",
            "telephone_number": "702-990-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 AZTEC WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693168",
            "telephone_number": "702-990-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER LIVING RESIDENCE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-331-1695"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NV",
            "license": "7507 AGC-6",
            "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 Dec 12, 2016; 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.