Healthcare Provider Details

I. General information

NPI: 1679414403
Provider Name (Legal Business Name): GABRIEL CAREHOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1627 GABRIEL DR
LAS VEGAS NV
89119-6203
US

IV. Provider business mailing address

1627 GABRIEL DR
LAS VEGAS NV
89119-6203
US

V. Phone/Fax

Practice location:
  • Phone: 725-735-4438
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA NICOLE DIGAN
Title or Position: PARTNER
Credential:
Phone: 702-624-9793