PINEDA GROUP LLC
NPI 1205492568
Assisted Living Facility in Las Vegas, NV

Q: What is Pineda Group LLC's NPI number?

The NPI number for Pineda Group LLC is 1205492568. It was assigned to this organization in the NPPES registry on May 13, 2019. The provider is doing business as Mystic Haven.

Q: What is Pineda Group LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Pineda Group LLC was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 13, 2019

3421 CAMSORE POINT LN, LAS VEGAS, NV 89129(702) 255-9171(702) 202-3680 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pineda Group Llc NPPES

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

PINEDA GROUP LLC (NPI 1205492568), doing business as Mystic Haven, is a healthcare organization registered as an assisted living facility in Las Vegas, Nevada and active in the NPI registry since May 2019. The organization lists Yannie Tablizo, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1205492568

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePINEDA GROUP LLC

Location Address3421 CAMSORE POINT LNLas Vegas, NV 89129-6999

Mailing Address4325 N Torrey Pines DrLas Vegas, NV 89108-5510 · (702) 658-5518 · Fax (702) 202-3680

Phone(702) 255-9171

Fax(702) 202-3680

Organization SubpartNo

Authorized OfficialYannie TablizoManaging Member · (702) 302-6932

Enumeration DateMay 13, 2019

✔ NPI 1205492568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

3421 CAMSORE POINT LN, Las Vegas, NV 89129

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Other Names 1

Doing Business AsMystic Haven

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 Pineda Group LLC's NPI number?

The NPI number for Pineda Group LLC is 1205492568. It was assigned to this organization in the NPPES registry on May 13, 2019. The provider is doing business as Mystic Haven.

Where is Pineda Group LLC located?

Pineda Group LLC is located at 3421 Camsore Point Ln, Las Vegas, NV 89129. The listed phone number is (702) 255-9171.

What is Pineda Group LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Pineda Group LLC was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.