Provider Demographics
NPI:1093267726
Name:ALZHEIMER LUXURY CARE
Entity Type:Organization
Organization Name:ALZHEIMER LUXURY CARE
Other - Org Name:ALZHEIMER LUXURY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-471-7204
Mailing Address - Street 1:2951 E VIKING RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-4156
Mailing Address - Country:US
Mailing Address - Phone:702-203-4605
Mailing Address - Fax:702-892-9516
Practice Address - Street 1:2951 E VIKING RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-4156
Practice Address - Country:US
Practice Address - Phone:702-203-4605
Practice Address - Fax:702-892-9516
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALZHEIMER LUXURY CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3671AGZ-12311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home