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SAN VICENTE HOME CARE, LLC
NPI 1073032090
Custodial Care Facility - Adult Care Home in Las Vegas, NV

Active since September 11, 2017
8460 RANCHO DESTINO RD, LAS VEGAS, NV 89123(702) 324-4442(702) 263-7065 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 11, 2017 (2 updates tracked since 2017).

About San Vicente Home Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN VICENTE HOME CARE, LLC (NPI 1073032090) is a healthcare organization registered as an adult care home in Las Vegas, Nevada and active in the NPI registry since September 2017. The organization lists Visitacion T Dela Pena, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073032090
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSAN VICENTE HOME CARE, LLC
Location Address8460 RANCHO DESTINO RDLas Vegas, NV 89123-1633
Mailing Address8460 Rancho Destino RdLas Vegas, NV 89123-1633 · (702) 324-4442 · Fax (702) 263-7065
Phone(702) 324-4442
Fax(702) 263-7065
Organization SubpartNo
Authorized OfficialVisitacion T Dela PenaAdministrator · (702) 324-4442
Enumeration DateSeptember 11, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1073032090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NV · 358-AGC-25
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
8460 RANCHO DESTINO RD, Las Vegas, NV 89123
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Other Identifiers 1

Medicaid005702025NV

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Vicente Home Care, LLC's NPI number?

The NPI number for San Vicente Home Care, LLC is 1073032090. It was assigned to this organization in the NPPES registry on September 11, 2017.

Where is San Vicente Home Care, LLC located?

San Vicente Home Care, LLC is located at 8460 Rancho Destino Rd, Las Vegas, NV 89123. The listed phone number is (702) 324-4442.

What is San Vicente Home Care, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for San Vicente Home Care, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.