Organization · Type 2 NPI

Desert Inn Residential Care

Adult Care Home Facility · Las Vegas, NV

NPI number 1992256143 Active

Practice location

2845 Burnham Ave
Las Vegas, NV 89169-1793

Call (702) 203-3450 Map

Fax (702) 252-5092

Mailing address

7160 Darby Ave
Las Vegas, NV 89117-3122

Specialties and licenses

Taxonomy	Code	License
Adult Care Home Facility Primary	311ZA0620X	3119AGZ-13 (NV)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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NPI record

NPI: 1992256143
Entity type: Organization (Type 2)
Issued: Oct 21, 2016
Last updated: Oct 21, 2016
Status: Active
Subpart: Yes of Desert Inn Residential Care

Other names

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Desert Inn Residential Care · doing business as

Authorized official

Jasmine Castillo
Administrator
(702) 203-3450

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1992256143

Desert Inn Residential Care's National Provider Identifier is 1992256143, issued on Oct 21, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 21, 2016.