NPI 1558458745 · live from the CMS NPI Registry
Thi Of Nevada At Vegas Valley, LLC
Skilled Nursing Facility in Las Vegas, NV. National Provider Identifier 1558458745, active.
NPI record
| NPI | 1558458745 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 2945 Casa Vegas St, Las Vegas, NV 89109 |
| Practice phone | 702-735-7179 |
| Mailing address | 920 Ridgebrook Rd, Sparks, MD 21152 |
| Enumerated | October 7, 2006 |
| Last updated | August 22, 2011 |
| Authorized official | Edmond Morache, President |
| Other names | Southern Nevada Medical And Rehabilitation Center |
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.