Healthcare Provider Details

I. General information

NPI: 1659281699
Provider Name (Legal Business Name): GBY CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6880 HATHAWAY DR
LAS VEGAS NV
89156-7143
US

IV. Provider business mailing address

6880 HATHAWAY DR
LAS VEGAS NV
89156-7143
US

V. Phone/Fax

Practice location:
  • Phone: 702-937-8848
  • Fax:
Mailing address:
  • Phone: 702-937-8848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. GAYLE BALLA YANGCO
Title or Position: OWNER
Credential:
Phone: 702-937-8848