# AGED LIVING FACILITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740917343
- **Authorized official:** LINH NGUYEN (OWNER)
- **Authorized official phone:** (630) 765-0819

## Contact information

- **Practice address:** 7754 WHITESBORO CT, LAS VEGAS, NV 89139-5794
- **Practice address phone:** (630) 765-0819
- **Mailing address:** 7754 WHITESBORO CT, LAS VEGAS, NV 89139-5794
- **Mailing address phone:** (630) 765-0819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2022
- **Last updated:** 08/04/2022