Provider Demographics
NPI:1861961468
Name:LAGUNA SPA LLC
Entity type:Organization
Organization Name:LAGUNA SPA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:GUIPING
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-972-0994
Mailing Address - Street 1:2249 EARLY FROST AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2625
Mailing Address - Country:US
Mailing Address - Phone:702-972-0994
Mailing Address - Fax:702-463-6842
Practice Address - Street 1:2249 EARLY FROST AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2625
Practice Address - Country:US
Practice Address - Phone:702-972-0994
Practice Address - Fax:702-463-6842
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-13
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home