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NPI Code Detail

MEDICARE: ALIANTE MEMORY CARE LLC

MEDICARE: ALIANTE MEMORY CARE LLC
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
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1710726575
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALIANTE MEMORY CARE LLC
Provider Business Mailing Address
First Line : 923 JASON ALEXANDER AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-0792
Country : US
Telephone Number : 702-336-1248
Fax Number : 725-205-0804
Provider Business Practice Location Address
First Line : 923 JASON ALEXANDER AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-0792
Country : US
Telephone Number : 702-336-1248
Fax Number : 725-205-0804
Authorized Official
Title or Position : MANAGING MEMBER
Name : BIAR KUEK
Credential :
Telephone Number : 702-336-1248
Provider Enumeration Date : 05/22/2024
Last Update Date : 05/22/2024

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Directions to “ALIANTE MEMORY CARE LLC ” Practice Location

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