DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LIFE1 CARE HOME LLC

MEDICARE: LIFE1 CARE HOME LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1912848169
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE1 CARE HOME LLC
Provider Business Mailing Address
First Line : 4075 ALTO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3207
Country : US
Telephone Number : 248-636-6220
Fax Number :
Provider Business Practice Location Address
First Line : 4075 ALTO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3207
Country : US
Telephone Number : 248-636-6220
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MS. JOAN SY
Credential : MD, RN, ICNA, RFA
Telephone Number : 248-636-6220
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/02/2026

Similar Medicare Providers

1871637538 — DR. CRAIG R W HAMILTON OD OPTOMETRIST
Practice Location Address:
2190 E PEBBLE RD , STE # 140
LAS VEGAS, NV
89123-3207
Practice Phone: 702-456-1669
Practice Fax: 702-456-6083
1467790113 — HOPE INDUSTRIES LLC
Practice Location Address:
1700 E DESERT INN RD STE 314
LAS VEGAS, NV
89169-3207
Practice Phone: 702-839-1088
Practice Fax: 702-650-2800
1861900482 — JESSICA LYNN JANE VALENTINE
Practice Location Address:
1700 E DESERT INN RD STE 314
LAS VEGAS, NV
89169-3207
Practice Phone: 702-839-1088
Practice Fax: 702-650-2800
1184123366 — SHENITA MARIE VASQUEZ
Practice Location Address:
1700 E DESERT INN RD STE 314
LAS VEGAS, NV
89169-3207
Practice Phone: 760-524-0035
Practice Fax:
1679072177 — JOYCE HUGHES
Practice Location Address:
1700 E DESERT INN RD STE 314
LAS VEGAS, NV
89169-3207
Practice Phone: 702-839-1088
Practice Fax: 702-650-2800
1568961951 — AMENBISAYO EKAWELE
Practice Location Address:
1700 E DESERT INN RD STE 314
LAS VEGAS, NV
89169-3207
Practice Phone: 702-839-1088
Practice Fax: 702-650-2800

Directions to “LIFE1 CARE HOME LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.