NPI 1083612741 · live from the CMS NPI Registry
State Of Nevada
Skilled Nursing Facility in Boulder City, NV. National Provider Identifier 1083612741, active.
NPI record
| NPI | 1083612741 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 100 Veterans Memorial Drive, Boulder City, NV 89005 |
| Practice phone | 702-332-6713 |
| Enumerated | July 7, 2005 |
| Last updated | August 1, 2013 |
| Authorized official | Frank Bellinger, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 2984 SNF-6 (NV) |
| Alzheimer Center (Dementia Center) | 311500000X | 2984 SNF-6 (NV) |
| Skilled Nursing Facility primary | 314000000X | 2984 SNF-6 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.