Provider Demographics
NPI:1053827212
Name:A PRECIOUS GEMS LLC
Entity Type:Organization
Organization Name:A PRECIOUS GEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:AQUINO
Authorized Official - Last Name:TORIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-218-3319
Mailing Address - Street 1:695 LYNMAR CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-8751
Mailing Address - Country:US
Mailing Address - Phone:702-218-3319
Mailing Address - Fax:
Practice Address - Street 1:1733 HUNTERS BLUFF DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-7983
Practice Address - Country:US
Practice Address - Phone:702-636-5501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-22
Last Update Date:2017-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3171-AGC-20311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home