Healthcare Provider Details

I. General information

NPI: 1356829519
Provider Name (Legal Business Name): CIELO VISTA SENIOR DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 07/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3468 E SAHARA AVE STE 105
LAS VEGAS NV
89104-4827
US

IV. Provider business mailing address

3468 E SAHARA AVE STE 105
LAS VEGAS NV
89104-4827
US

V. Phone/Fax

Practice location:
  • Phone: 702-431-2900
  • Fax: 702-432-0036
Mailing address:
  • Phone: 702-431-2900
  • Fax: 702-432-0036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARNALDO FERRER DE LA CRUZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 702-496-2341