M and DC, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

M AND DC, LLC

Practice address

2757 Gallant Hills Dr
Las Vegas, NV 89135-1757

Phone

(702) 882-9776

Fax

(702) 995-0676

NPI assigned

Apr 20, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Elaine Manliclic-Dela Cuesta

Title

Owner

Phone

(702) 882-9776

Specialties & licenses 1

Addresses

Other names 1

• Blessed Hope Care Home Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1992550263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 GALLANT HILLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351757",
            "telephone_number": "702-882-9776",
            "fax_number": "702-995-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 GALLANT HILLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351757",
            "telephone_number": "702-882-9776",
            "fax_number": "702-995-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M AND DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "MANLICLIC-DELA CUESTA",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-882-9776",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blessed Hope Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alzheimer Center (Dementia Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Alzheimer Center (Dementia Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.