NPI 1245867159 · live from the CMS NPI Registry
Starfruit Holdings, LLC
Skilled Nursing Facility in Las Vegas, NV. National Provider Identifier 1245867159, active.
NPI record
| NPI | 1245867159 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 4375 S Eastern Ave, Las Vegas, NV 89119 |
| Practice phone | 702-916-1290 |
| Mailing address | 262 N University Ave, Farmington, UT 84025 |
| Enumerated | March 23, 2020 |
| Last updated | August 20, 2024 |
| Authorized official | John Mitchell, Secretary |
| Other names | Trellis Paradise |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.