NPIMap

Organization Active NPI

Caremeridian, LLC

Doing business as Neurorestorative

  • Skilled Nursing Facility
  • Las Vegas, NV
National Provider Identifier
1083707764
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3564SNF-5 Issued in NV
Legal business name
CAREMERIDIAN, LLC
Doing business as
Neurorestorative
Practice address
7690 Carmen Blvd.
Las Vegas, NV 89128
Phone
(702) 255-7399
Fax
(702) 255-4310
NPI assigned
Oct 2, 2006
Last updated
Aug 13, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL MENTOR HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Mr. Sean Shea
Title
Director of Finance
Phone
(617) 688-5251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3564SNF-5 NV Primary

Addresses

Primary practice location

7690 Carmen Blvd.
Las Vegas, NV 89128

Mailing address

163 Technology Dr Ste 200
Irvine, CA 92618-2486
Phone (949) 794-0787

Other identifiers 1

IdentifierTypeStateIssuer
100510503MedicaidNV

Other names 2

  • Neurorestorative Doing business as
  • National Mentor Healthcare, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081218000310 NV Part A Provider - Skilled Nursing Facility 3577625946 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083707764. Details of each certification follow.

Skilled nursing facility certification: CCN 295084

Legal name
CAREMERIDIAN LLC
Doing business as
NEURORESTORATIVE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 19, 2005
Last certification
Apr 18, 2025
Beds
35
Ownership / control type
Corporation
Multi-facility organization
Sevita Health
Organization structure
LLCProprietary
Incorporated
Aug 15, 2008 in DE
Enrollment address
7690 Carmen Blvd
Las Vegas, NV 89128-3639
Nursing home name
NEURORESTORATIVE
Affiliated entity
NEURORESTORATIVE

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
NeurorestorativeCCN 295084 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 19, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3534.0 residents per day on average
Chain
Neurorestorative5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Caremeridian LLC40 organizations share this tax ID, including this one
Part of
California Mentor

Other organizations with this tax ID 39

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

View all 39

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
William P McKinney Individual Corporate OfficerCeo Oct 21, 2019
Operational/Managerial ControlCeo Oct 21, 2019
William F Duffy Individual Corporate Officer Nov 1, 2017 100%
Operational/Managerial Control Nov 1, 2017 100%
National Mentor Holdings LLC Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest Nov 22, 2000 100%
Caremeridian LLC Organization, Irvine, CA LLC Operational/Managerial Control Oct 1, 2008 100%
Peter E Gladitsch Individual Corporate OfficerCfo Feb 1, 2020
National Mentor Holdings, Inc. Organization, Boston, MA Corporation 5% Or Greater Indirect Ownership Interest Nov 22, 2000 100%
Brett I Cohen Individual Corporate OfficerChief Operating Officer Dec 14, 2015
Bruce W Kuluris Individual Corporate Director Jan 17, 2018
W-2 Managing EmployeeVice President of Operations Jan 17, 2018
National Mentor Healthcare LLC Organization, Boston, MA LLC 5% Or Greater Direct Ownership Interest Aug 15, 2008 100%
Operational/Managerial Control Oct 1, 2008 100%
Celtic Intermediate Corp. Organization, Boston, MA Corporation 5% Or Greater Indirect Ownership Interest Mar 8, 2019 100%
Gina Martin Individual Corporate Officer Jan 1, 2019 100%
National Mentor LLC Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest Nov 6, 2002 100%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
NeurorestorativeLittleton, CO, CCN 065402 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2008
NeurorestorativeLas Vegas, NV, CCN 295091 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2008
NeurorestorativeRiverton, UT, CCN 465179 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2017
NeurorestorativeReno, NV, CCN 295103 Skilled nursing facility Operational/Managerial Control (100%) Oct 1, 2008

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

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

  • Caremeridian, LLC

    dba Neurorestorative

    • Skilled Nursing Facility
    • Reno, NV
    • NPI 1407357247

    Caremeridian LLC, National Mentor Healthcare LLC

    CMS ownership
  • Caremeridian, LLC

    dba Neurorestorative

    • Skilled Nursing Facility
    • Las Vegas, NV
    • NPI 1558636993

    Caremeridian LLC, Celtic Intermediate Corp., National Mentor Healthcare LLC, National Mentor Holdings LLC, National Mentor Holdings, Inc., National Mentor LLC

    CMS ownership
  • Caremeridian, LLC

    dba Neurorestorative

    • Skilled Nursing Facility
    • Littleton, CO
    • NPI 1497020093

    Caremeridian LLC, Celtic Intermediate Corp., National Mentor Healthcare LLC, National Mentor Holdings LLC, National Mentor Holdings, Inc., National Mentor LLC

    CMS ownership
  • Caremeridian, LLC

    dba Neurorestorative

    • Skilled Nursing Facility
    • Riverton, UT
    • NPI 1609306091

    Caremeridian LLC, Celtic Intermediate Corp., National Mentor Healthcare LLC, National Mentor Holdings LLC, National Mentor Holdings, Inc., National Mentor LLC

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1083707764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 TECHNOLOGY DR STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182486",
            "telephone_number": "949-794-0787",
            "fax_number": "949-261-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7690 CARMEN BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-255-7399",
            "fax_number": "702-255-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMERIDIAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "617-688-5251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "3564SNF-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510503",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurorestorative",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Mentor Healthcare, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.