1. Home
  2. Directory
  3. Nevada
  4. N Las Vegas
  5. Custodial Care Facility
  6. NPI Profile

MRS. JANUARY BLUE
NPI 1750782595
Custodial Care Facility - Adult Care Home in N Las Vegas, NV

Active since September 11, 2014
1013 STONEYPEAK AVE, N LAS VEGAS, NV 89081(702) 478-5252 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. January Blue NPPES

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

MRS. JANUARY BLUE (NPI 1750782595) is an individual adult care home provider in N Las Vegas, Nevada, licensed in Nevada (5002AGC-12) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1750782595
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameMRS. JANUARY BLUE
Location Address1013 STONEYPEAK AVEN Las Vegas, NV 89081-3239
Mailing Address2608 Wooly Rose AveLas Vegas, NV 89106-1466
Phone(702) 478-5252
Sole ProprietorYes
Enumeration DateSeptember 11, 2014
Last NPPES UpdateSeptember 15, 2014
✔ NPI 1750782595 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 · 5002AGC-12
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.
1013 STONEYPEAK AVE, N Las Vegas, NV 89081
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

R AND L ADULT CARE HOME 2 LLC
Custodial Care Facility (Adult Care Home)
1013 STONEYPEAK AVE
NORTH LAS VEGAS, NV 89081
Clark County (702) 277-6724

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 January Blue's NPI number?

The NPI number for January Blue is 1750782595. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Where is January Blue located?

January Blue practices at 1013 Stoneypeak Ave, N Las Vegas, NV 89081. The listed phone number is (702) 478-5252.

What is January Blue'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 January Blue was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.