Organization
ST JEREMIAH LLC
Active
Other names
ST JEREMIAH CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J LARKIN (OWNER)
(725) 204-6644
Entity
Organization
Contact information
Practice address
3918 CHEROKEE AVE E, LAS VEGAS, NV 89121-4511
(702) 823-3277
Mailing address
3918 CHEROKEE AVE E, LAS VEGAS, NV 89121-4511
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102248869
DRIVER LICENSE
NV
Enumeration date
07/06/2020
Last updated
06/19/2025
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