Life1 Care Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

LIFE1 CARE HOME LLC

Practice address

4075 Alto Ave
Las Vegas, NV 89115-3207

Phone

(248) 636-6220

NPI assigned

Apr 2, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Joan Sy, MD, RN, ICNA, RFA

Title

Manager

Phone

(248) 636-6220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1912848169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 ALTO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891153207",
            "telephone_number": "248-636-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 ALTO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891153207",
            "telephone_number": "248-636-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE1 CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-636-6220",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD, RN, ICNA, RFA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Care Home Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.