Organization Active NPI

Coral Reef Ventures LLC

Doing business as Amada Senior Care Henderson NV

  • In Home Supportive Care Agency
  • Henderson, NV
National Provider Identifier
1942105853
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CORAL REEF VENTURES LLC
Doing business as
Amada Senior Care Henderson NV
Practice address
6250 Mountain Vista St Ste L-1
Henderson, NV 89014-2320
Phone
(725) 444-1001
Fax
(725) 444-1002
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Marques Grady
Title
Administrator
Phone
(510) 396-5675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

6250 Mountain Vista St Ste L-1
Henderson, NV 89014-2320

Mailing address

6250 Mountain Vista St Ste L-1
Henderson, NV 89014-2320
Phone (725) 444-1001

Other names 1

  • Amada Senior Care Henderson NV Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1942105853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 MOUNTAIN VISTA ST STE L-1",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142320",
            "telephone_number": "725-444-1001",
            "fax_number": "725-444-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 MOUNTAIN VISTA ST STE L-1",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142320",
            "telephone_number": "725-444-1001",
            "fax_number": "725-444-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL REEF VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-11",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "MARQUES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-396-5675"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care Henderson NV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.