MEDICARE: ALUXE RESIDENTIAL MEMORY CARE

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
1	311ZA0620X	Adult Care Home Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10247-AGC-0	OTHER	NV	STATE LICENSE

General Provider Information

NPI Number	:	1588315154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALUXE RESIDENTIAL MEMORY CARE

Provider Business Mailing Address
First Line	:	8115 DOLCE VOLPE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-8259
Country	:	US
Telephone Number	:	702-463-4551
Fax Number	:

Provider Business Practice Location Address
First Line	:	8115 DOLCE VOLPE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-8259
Country	:	US
Telephone Number	:	702-463-4551
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF ALUXE
Name	:	CLAUDINE COFFIN
Credential	:
Telephone Number	:	619-621-1909

Provider Enumeration Date	:	01/14/2022
Last Update Date	:	01/20/2022

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Directions to “ALUXE RESIDENTIAL MEMORY CARE ” Practice Location

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