NPI 1073032090

San Vicente Home Care, LLC

Organisation Adult Care Home Facility Las Vegas, NV

Practice location

Address: 8460 Rancho Destino Rd, Las Vegas, NV 89123-1633
Phone: (702) 324-4442
Fax: (702) 263-7065

Authorised official

Name: Visitacion T Dela Pena
Title: Administrator
Phone: (702) 324-4442

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 358-AGC-25 (NV)

Other Custodial Care Facility providers in Nevada →

Registry record

NPI: 1073032090
Entity type: Organization
NPI issued: 11 Sep 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.