Thi of Nevada at Henderson Convalescent LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THI OF NEVADA AT HENDERSON CONVALESCENT LLC

Doing business as

Henderson Healthcare Center

Practice address

1180 E Lake Mead Pkwy
Henderson, NV 89015-5561

Phone

(702) 565-8555

Fax

(702) 564-6330

NPI assigned

Oct 7, 2006

Last updated

Oct 10, 2011By 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

Bruce Bedard

Title

President

Phone

(702) 565-8555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Henderson Healthcare Center Doing business as

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1316034598",
    "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": "1180 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155561",
            "telephone_number": "702-565-8555",
            "fax_number": "702-564-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF NEVADA AT HENDERSON CONVALESCENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "BEDARD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-565-8555"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001902200",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therafun Therapy Services
• Therakids LLC
• Therapy for Better Life PLCC
• Ernarae Theriault
• Thi of Nevada at Desert Valley Therapy LLC (Desert Valley Therapy)
• Thi of Nevada at Henderson Convalescent, LLC (Henderson Healthcare Center)
• Mark R. Thiele, MD
• Michelle Arcilla Thiengtham, FNP-BC
• Thomas a Alfreda Jr & Associates PC
• Thomas Dermatology

• Skilled Nursing Facility in Henderson, NV
• Providers in Henderson, NV by specialty
• Skilled Nursing Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.