OrganizationActive
Life1 Care Home LLC
NPI 1912848169 · Adult Care Home Facility · Las Vegas, NV
Provider details
- NPI number
- 1912848169
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Joan Sy, Manager(248) 636-6220
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4075 Alto Ave
Las Vegas, NV 89115-3207
Phone: (248) 636-6220
Street-level locationGet directions
Mailing address
4075 Alto Ave
Las Vegas, NV 89115-3207
Registry dates
- Enumerated
- 2026-04-02
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.