Provider Demographics
NPI:1205681582
Name:ALUXE RESIDENCE LLC
Entity type:Organization
Organization Name:ALUXE RESIDENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN CARLOS
Authorized Official - Middle Name:PORCIUNCULA
Authorized Official - Last Name:COMAHIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-818-0346
Mailing Address - Street 1:3059 EL CAMINO RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6619
Mailing Address - Country:US
Mailing Address - Phone:702-818-0346
Mailing Address - Fax:
Practice Address - Street 1:3059 EL CAMINO RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6619
Practice Address - Country:US
Practice Address - Phone:702-818-0346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-20
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances