Provider Demographics
NPI:1063116473
Name:HAPPY ADULT CARE ALZHEIMER LLC
Entity type:Organization
Organization Name:HAPPY ADULT CARE ALZHEIMER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:VASWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-339-9004
Mailing Address - Street 1:3667 DUTCH VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6807
Mailing Address - Country:US
Mailing Address - Phone:702-339-9004
Mailing Address - Fax:
Practice Address - Street 1:1905 QUAIL POINT CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1899
Practice Address - Country:US
Practice Address - Phone:702-339-9004
Practice Address - Fax:702-478-9730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility