Plaxia Care LLC
Assisted Living Facility

Address: 5095 N Park St, Las Vegas, NV 89149-2522
Phone: 7028584559

Plaxia Care LLC (NPI# 1013519073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013519073
Entity Type Organization
Organization Name PLAXIA CARE LLC
Practice Address 5095 N Park St
Las Vegas
NV 89149-2522
Practice Telephone 7028584559
Practice Fax Number 8108850572
Mailing Address 4565 N Chieftain St
Las Vegas
NV 89129-2608
Mailing Telephone 7028584559
Mailing Fax Number 8108850572
Authorized Official Name Nichole Crock (OWNER)
Authorized Official Telephone 7028584559
Authorized Official Credential ADMINISTRATOR
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-13
Last Update Date 2020-11-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Identifier Issuer Type Code

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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Office Location

Street Address 5095 N PARK ST
State NV
Zip Code 89149-2522

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NPI Name Taxonomy Address Enumeration
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1366976276 Pam Squared At Las Vegas, LLC Rehabilitation Hospital 6166 North Durango Drive, Las Vegas, NV 89149 2017-04-18
1083076269 Kristopher Kevin Kleinman Registered Nurse 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 2016-03-25
1326428962 Kimberly Vialpando Physical Therapist 6351 N. Forte Apache Road, Las Vegas, NV 89149 2015-06-08
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Zip Code 89149

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.