NPIMap

Organization Active NPI

Thi of Nevada at Vegas Valley, LLC

  • Skilled Nursing Facility
  • Las Vegas, NV
National Provider Identifier
1235330242
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1214SNF16 Issued in NV
Legal business name
THI OF NEVADA AT VEGAS VALLEY, LLC
Doing business as
Southern Nevada Medical and Rehabilitation Center
Practice address
2945 Casa Vegas St
Las Vegas, NV 89109-2248
Phone
(702) 735-7179
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Edmond Morache
Title
President
Phone
(702) 735-7179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1214SNF16 NV Primary

Addresses

Primary practice location

2945 Casa Vegas St
Las Vegas, NV 89109-2248

Mailing address

920 Ridgebrook Rd
Sparks, MD 21152-9390
Phone (410) 773-1000

Other identifiers 1

IdentifierTypeStateIssuer
100506701MedicaidNV

Other names 1

  • Southern Nevada Medical and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1235330242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 CASA VEGAS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092248",
            "telephone_number": "702-735-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF NEVADA AT VEGAS VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "MORACHE",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-735-7179"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "1214SNF16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506701",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Nevada Medical and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.