Desert Inn Residential Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

3119AGZ-13 Issued in NV

Legal business name

DESERT INN RESIDENTIAL CARE

Practice address

2845 Burnham Ave
Las Vegas, NV 89169-1793

Phone

(702) 203-3450

Fax

(702) 252-5092

NPI assigned

Oct 21, 2016

Organization subpart

Yes

Parent organization

DESERT INN RESIDENTIAL CAREAs reported in NPPES

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

Authorized official

Name

Jasmine CastilloNPI 1801098132

Title

Administrator

Phone

(702) 203-3450

Specialties & licenses 1

Addresses

Other names 1

• Desert Inn Residential Care Doing business as

Part of

Desert Inn Residential Care

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Taboada Castillo, ADMINISTRATOR

  • Adult Day Care Clinic/Center
  • Las Vegas, NV
  • NPI 1801098132
  NPD (past) Authorized official

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1992256143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 DARBY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173122",
            "telephone_number": "702-203-3450",
            "fax_number": "702-252-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 BURNHAM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891691793",
            "telephone_number": "702-203-3450",
            "fax_number": "702-252-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT INN RESIDENTIAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT INN RESIDENTIAL CARE",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-203-3450"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NV",
            "license": "3119AGZ-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Inn Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desert Grace Health Services, Inc.
• Desert Grit Mental Health LLC
• Desert Harmony Health LLC
• Desert Hearts Family and Community Services LLC
• Desert Inn Chiropractic Center
• Desert Inn Womens Clinic CHTD
• Desert Institute of Specialty Care LLC
• Desert Integrative Health LLC
• Desert Medical Clinic
• Desert Medical Equipment

• 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 Oct 21, 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.