NPIMap

Organization Active NPI

Las Vegas Post Acute & Rehabilitation LLC

  • Skilled Nursing Facility
  • Las Vegas, NV
National Provider Identifier
1003150954
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAS VEGAS POST ACUTE & REHABILITATION LLC
Practice address
2832 S Maryland Pkwy
Las Vegas, NV 89109-1502
Phone
(310) 266-1080
Fax
(714) 256-2003
NPI assigned
Nov 15, 2012
Last updated
Apr 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Johnson
Title
Ceo
Phone
(310) 266-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NV Primary

Addresses

Primary practice location

2832 S Maryland Pkwy
Las Vegas, NV 89109-1502

Mailing address

530 N Puente St
Brea, CA 92821-2804
Phone (310) 266-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130427000052 NV Part A Provider - Skilled Nursing Facility 8527204122 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003150954. Details of each certification follow.

Skilled nursing facility certification: CCN 295006

Legal name
LAS VEGAS POST ACUTE & REHABILITATION LLC
Doing business as
LAS VEGAS POST ACUTE AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jun 28, 2024
Beds
79
Ownership / control type
Partnership
Organization structure
LLCProprietary
Enrollment address
2832 S Maryland Pkwy
Las Vegas, NV 89109-1502
Nursing home name
LAS VEGAS POST ACUTE & REHABILITATION
Affiliated entity
DAVID JOHNSON

Care Compare: Nursing home

Medicare Care Compare
Listed as
Las Vegas Post Acute & RehabilitationCCN 295006 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7977.3 residents per day on average
Chain
David Johnson48 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0964495Las Vegas Post Acute and Rehabilitation2832 S Maryland Pkwy, Las Vegas, NV 89109Certificate of waiverAug 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Las Vegas Post Acute Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2832 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 735-4848

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Meridian Management Services LLC Organization, Brea, CA LLC Operational/Managerial Control Mar 1, 2013 100%
Adp of the SNF Aug 27, 2025
Alok Chandra Saxena Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Aug 27, 2025
Frank Bellinger Individual Operational/Managerial Control Feb 7, 2022
Adp of the SNF Feb 7, 2022
David a Johnson Individual Operational/Managerial Control Nov 14, 2012
Direct Ownership Interest Nov 14, 2012 50%
Thomas M Chambers Individual Operational/Managerial ControlManager/Member of LLC Nov 14, 2012 50%
Adp of the SNF Nov 14, 2012
Direct Ownership Interest Nov 14, 2012 50%
Rustico Rayta Punzalan Individual Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1003150954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N PUENTE ST",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212804",
            "telephone_number": "310-266-1080",
            "fax_number": "714-256-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091502",
            "telephone_number": "310-266-1080",
            "fax_number": "714-256-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS POST ACUTE & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-266-1080"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.