Avondale Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

AVONDALE CARE HOME

Practice address

6215 E Owens Ave
Las Vegas, NV 89110-1802

Phone

(702) 778-2753

Fax

(702) 778-2753

NPI assigned

Jan 7, 2019

Organization subpart

No

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

Authorized official

Name

Suthinee Agcaoili Laoniyomthai

Title

Ceo

Phone

(702) 767-0311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1992278568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 E OWENS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891101802",
            "telephone_number": "702-778-2753",
            "fax_number": "702-778-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 E OWENS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891101802",
            "telephone_number": "702-778-2753",
            "fax_number": "702-778-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONDALE CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "LAONIYOMTHAI",
        "authorized_official_first_name": "SUTHINEE",
        "authorized_official_middle_name": "AGCAOILI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-767-0311"
    },
    "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 25, 2024; 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.