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EMBRY RIDGE SENIOR CARE LLC
NPI 1558933846
Custodial Care Facility - Adult Care Home in Las Vegas, NV

Active since July 15, 2021CLIA 29D2334358 · Waiver
5313 PADUA WAY, LAS VEGAS, NV 89107(702) 258-1669(702) 258-1667 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Embry Ridge Senior Care Llc NPPES

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

EMBRY RIDGE SENIOR CARE LLC (NPI 1558933846) is a healthcare organization registered as an adult care home in Las Vegas, Nevada and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Erika Vergara, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1558933846
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameEMBRY RIDGE SENIOR CARE LLC
Location Address5313 PADUA WAYLas Vegas, NV 89107-0404
Mailing Address5313 Padua WayLas Vegas, NV 89107-0404 · (702) 258-1669
Phone(702) 258-1669
Fax(702) 258-1667
Organization SubpartNo
Authorized OfficialErika VergaraOwner/manager · (916) 230-2675
Enumeration DateJuly 15, 2021
NPPES CertifiedJuly 15, 2021
✔ NPI 1558933846 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
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.
5313 PADUA WAY, Las Vegas, NV 89107
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2334358

Embry Ridge Senior Care LLC · Las Vegas, NV
Active · expires Nov 18, 2027
CLIA Number29D2334358
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorErika Vergara
Laboratory Phone(916) 230-2675
Laboratory LocationEmbry Ridge Senior Care LLC5313 Padua Way, Las Vegas, NV 89107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMBRY RIDGE SENIOR CARE LLC
Assisted Living Facility
5313 PADUA WAY
LAS VEGAS, NV 89107
Clark County (702) 258-1669

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 Embry Ridge Senior Care LLC's NPI number?

The NPI number for Embry Ridge Senior Care LLC is 1558933846. It was assigned to this organization in the NPPES registry on July 15, 2021.

Where is Embry Ridge Senior Care LLC located?

Embry Ridge Senior Care LLC is located at 5313 Padua Way, Las Vegas, NV 89107. The listed phone number is (702) 258-1669.

What is Embry Ridge Senior Care LLC's specialty?

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

Does Embry Ridge Senior Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2334358) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Embry Ridge Senior Care LLC was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.