Provider Demographics
NPI:1710726575
Name:ALIANTE MEMORY CARE LLC
Entity type:Organization
Organization Name:ALIANTE MEMORY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BIAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KUEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-336-1248
Mailing Address - Street 1:923 JASON ALEXANDER AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-0792
Mailing Address - Country:US
Mailing Address - Phone:702-336-1248
Mailing Address - Fax:725-205-0804
Practice Address - Street 1:923 JASON ALEXANDER AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-0792
Practice Address - Country:US
Practice Address - Phone:702-336-1248
Practice Address - Fax:725-205-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home