Provider Demographics
NPI:1831558568
Name:ALEBRIS OF SILVERADO RANCH
Entity type:Organization
Organization Name:ALEBRIS OF SILVERADO RANCH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZAR-LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-235-2584
Mailing Address - Street 1:508 PEARBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7219
Mailing Address - Country:US
Mailing Address - Phone:702-897-0925
Mailing Address - Fax:702-897-0926
Practice Address - Street 1:508 PEARBERRY AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7219
Practice Address - Country:US
Practice Address - Phone:702-897-0925
Practice Address - Fax:702-897-0926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3061AGZ-23311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home