Healthcare Provider Details

I. General information

NPI: 1477136257
Provider Name (Legal Business Name): COMPASSIONATE ADULT DAY HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 04/30/2021
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S. DECATUR BLVD. SUITE 115
LAS VEGAS NV
89107
US

IV. Provider business mailing address

240 S. DECATUR BLVD. SUITE 115
LAS VEGAS NV
89107
US

V. Phone/Fax

Practice location:
  • Phone: 702-463-6500
  • Fax: 702-463-6498
Mailing address:
  • Phone: 702-463-6500
  • Fax: 702-463-6498

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: ROSALITA C JURANI
Title or Position: ADMINISTRATOR/OWNER
Credential: M.D.
Phone: 402-499-2240