TIMELESS INDIVIDUAL RESIDENTIAL CARE (NPI# 1942665922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942665922 |
| Entity Type | Organization |
| Organization Name | TIMELESS INDIVIDUAL RESIDENTIAL CARE |
| Practice Address |
4617 Santa Monica Ave North Las Vegas NV 89032-2831 |
| Practice Telephone | 7023955834 |
| Practice Fax Number | 7026451020 |
| Mailing Telephone | 7023955834 |
| Mailing Fax Number | 7026451020 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | MRS. CARRIE SANDERS TROUTMAN (DIRECTOR) |
| Authorized Official Telephone | 7023955834 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
4279HIC-9 | NV | Nursing & Custodial Care Facilities |
| Street Address |
4617 SANTA MONICA AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535461 | Adult Comfort and Care Home LLC | Custodial Care Facility | 2105 Carroll St, North Las Vegas, NV 89030-6483 | 2019-12-13 |
| 1346809373 | Amethyst Care Home LLC | Custodial Care Facility | 3702 Internet Ave, North Las Vegas, NV 89031-4160 | 2019-06-12 |
| 1578047429 | Holy Angel Care Home, LLC | Custodial Care Facility | 1517 Gentle Brook St, North Las Vegas, NV 89084-2031 | 2018-09-17 |
| 1053827212 | A Precious Gems LLC | Custodial Care Facility | 1733 Hunters Bluff Dr, North Las Vegas, NV 89032-7983 | 2017-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164301 | Sachele Senior Guest Home | Custodial Care Facility | 3397 El Camino Real, Las Vegas, NV 89121-3424 | 2020-04-30 |
| 1073147922 | Valley of Golden Ages Corp. | Custodial Care Facility | 2680 Margaret Dr, Reno, NV 89506-8651 | 2020-03-01 |
| 1902444557 | Adult Care Home LLC | Custodial Care Facility | 10315 Queensbury Ave, Las Vegas, NV 89135-2132 | 2019-12-13 |
| 1821634882 | Golden Sunshine Alzheimers Care | Custodial Care Facility | 309 La Rue Ct, Las Vegas, NV 89145-4170 | 2019-11-25 |
| 1497391635 | Sunlight Garden Group LLC | Custodial Care Facility | 950 Garden Breeze Way, Las Vegas, NV 89123-3630 | 2019-11-22 |
| 1922644459 | Golden Years Residential Care Facility, LLC | Custodial Care Facility | 8920 Loggers Mill Ave, Las Vegas, NV 89143-5423 | 2019-11-19 |
| 1114562667 | Longevity Residential Care II | Custodial Care Facility | 4073 Kings Row, Reno, NV 89503-6825 | 2019-11-07 |
| 1326682667 | Golden Sunshine Alzheimer's Home Care, Inc. | Custodial Care Facility | 7765 Clearwood Ave, Las Vegas, NV 89123-0301 | 2019-10-30 |
| 1902457021 | At Nightingales LLC | Custodial Care Facility | 813 Fairway Dr, Las Vegas, NV 89107-2012 | 2019-09-20 |
| 1104485481 | Silverado Ranch Memory Care, Inc. | Custodial Care Facility | 248 Barletta Ave, Las Vegas, NV 89123-7410 | 2019-06-10 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.