Transition Health Services-Vida Encantada, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TRANSITION HEALTH SERVICES-VIDA ENCANTADA, LLC

Doing business as

Vida Encantada Nursing and Rehab

Practice address

2301 Collins Dr
Las Vegas, NM 87701-4826

Phone

(505) 425-9362

Fax

(505) 425-5414

NPI assigned

May 12, 2010

Last updated

May 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Chana Shelton

Title

Chief Financial Officer

Phone

(940) 464-7018

Specialties & licenses 1

Addresses

Other names 1

• Vida Encantada Nursing and Rehab Doing business as

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1083932354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HIGHWAY 377 S",
            "address_2": "SUITE 200",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762265140",
            "telephone_number": "940-464-7010",
            "fax_number": "940-464-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COLLINS DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014826",
            "telephone_number": "505-425-9362",
            "fax_number": "505-425-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITION HEALTH SERVICES-VIDA ENCANTADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "CHANA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "940-464-7018",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Encantada Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thi of New Mexico at Vida Encantada, LLC (Vida Encantada Nursing and Rehabilitation)
• Patria Thomas, L.P.C.C.
• Nancy Elizabeth Tisdel, LMHC
• Javier D Torres-Hughs, BMS
• Ivan Toya, CPSW
• Hedy M Trevino, LADAC
• Tricounty Family Justice Center
• Kyleigh Trout
• Andrea L Trujillo, PHARMD
• Tyler Nathaniel Trujillo, CSW

• Skilled Nursing Facility in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.