Adult Care Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ADULT CARE HOME LLC

Doing business as

Adult Comfort and Care Home 2

Practice address

10315 Queensbury Ave
Las Vegas, NV 89135-2132

Phone

(702) 629-4663

Fax

(702) 818-4663

NPI assigned

Dec 13, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Karpal K Pannu

Title

President

Phone

(702) 769-5951

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Adult Comfort and Care Home 2 Doing business as

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576368000000",
    "number": "1902444557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11838 COGOLETO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891384687",
            "telephone_number": "702-769-5951",
            "fax_number": "702-818-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 QUEENSBURY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352132",
            "telephone_number": "702-629-4663",
            "fax_number": "702-818-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A",
        "authorized_official_last_name": "PANNU",
        "authorized_official_first_name": "KARPAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-769-5951",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005059025",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Comfort and Care Home 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlene Adrian, D.O.
• Adriana Fitness LLC (healthy kids with Adriana Fitness)
• Rosalie Adriano
• Mark Austin Virtudez Adriatico
• Adult Care Connections, Inc
• Adult Day Care of Las Vegas
• Adult Day Care of the West Corp
• Adult Health and Wellness Center LLC
• Adult-Gerontology Medical, LLC
• Advance Addiction Treatment Center (AA Treatment Center)

• 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 15, 2019; 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.