Active NPI
Preferred Care West II Inc
Doing business as Mission Pines Nursing and Rehab Center
- Nursing Facility/Intermediate Care Facility
- North Las Vegas, NV
National Provider Identifier
1184607632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 691ICF-19
- Legal business name
- PREFERRED CARE WEST II INC
- Doing business as
- Mission Pines Nursing and Rehab Center
- Practice address
- 2860 E Cheyenne Ave
North Las Vegas, NV 89030-4234 - Phone
- (702) 644-7777
- Fax
- (702) 644-5909
- NPI assigned
- Nov 29, 2005
- Last updated
- Jan 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jamie Latture Collier
- Title
- Director of Reimbursement
- Phone
- (972) 931-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 691ICF-19 | NV | Primary |
Addresses
Primary practice location
2860 E Cheyenne Ave
North Las Vegas, NV 89030-4234
Mailing address
5420 W Plano Pkwy
Plano, TX 75093-4823
Phone (972) 931-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902100 | Medicaid | NV |
Other names 1
- Mission Pines Nursing and Rehab Center
National Provider Directory
National Provider Directory- Tax ID family
- Mission Pines Nursing and Rehab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Mission Pines Nursing and Rehab
- Nursing Facility/Intermediate Care Facility
- North Las Vegas, NV
- NPI 1598974487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358121600000",
"number": "1184607632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 W PLANO PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750934823",
"telephone_number": "972-931-3800",
"fax_number": "972-767-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 E CHEYENNE AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890304234",
"telephone_number": "702-644-7777",
"fax_number": "702-644-5909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED CARE WEST II INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-29",
"last_updated": "2013-01-14",
"status": "A",
"authorized_official_last_name": "COLLIER",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "LATTURE",
"authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
"authorized_official_telephone_number": "972-931-3800",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NV",
"license": "691ICF-19",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902100",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mission Pines Nursing and Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.