Provider Demographics
NPI:1467913335
Name:ADVANCED CARE FOR THE ELDERLY, LLC
Entity Type:Organization
Organization Name:ADVANCED CARE FOR THE ELDERLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ZORINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-838-5818
Mailing Address - Street 1:9501 MULROONA CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6921
Mailing Address - Country:US
Mailing Address - Phone:714-585-1579
Mailing Address - Fax:702-838-1765
Practice Address - Street 1:9501 MULROONA CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-6921
Practice Address - Country:US
Practice Address - Phone:714-585-1579
Practice Address - Fax:702-838-1765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home