NPI 1346809373
Amethyst Care Home LLC
Practice location
- Address
- 3702 Internet Ave, North Las Vegas, NV 89031-4160
- Phone
- (702) 702-4854
- Mailing address
- 4150 Cackling Goose Dr, North Las Vegas, NV 89084-2650
Authorised official
- Name
- Rolando Manago
- Title
- Managing Member
- Phone
- (702) 807-7634
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1346809373
- Entity type
- Organization
- NPI issued
- 12 Jun 2019
- Record last updated
- 12 Jun 2019
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.