Active NPI
Lifecare Partners
- Federally Qualified Health Center (FQHC)
- Las Vegas, NV
National Provider Identifier
1346113859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- LIFECARE PARTNERS
- Practice address
- 4416 E Bonanza Rd Unit 120B
Las Vegas, NV 89110-6349 - Phone
- (702) 350-1204
- NPI assigned
- Sep 29, 2025
- Last updated
- Sep 29, 2025
- 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
- Jami Nicole Dybik
- Title
- Authorizing Official
- Phone
- (843) 814-5177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
4416 E Bonanza Rd Unit 120B
Las Vegas, NV 89110-6349
Mailing address
4416 E Bonanza Rd Unit 120B
Las Vegas, NV 89110-6349
Phone (702) 350-1204
National Provider Directory
National Provider DirectoryLocations
4416 E Bonanza Rd
Unit 120B
Las Vegas, NV 89110
Phone (702) 350-1204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1346113859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4416 E BONANZA RD UNIT 120B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891106349",
"telephone_number": "702-350-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4416 E BONANZA RD UNIT 120B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891106349",
"telephone_number": "702-350-1204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECARE PARTNERS",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "DYBIK",
"authorized_official_first_name": "JAMI",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "AUTHORIZING OFFICIAL",
"authorized_official_telephone_number": "843-814-5177"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Lifebridge Healthcare LLC
- Lifecare Hospital at Tenaya LLC (Complex Care Hospital at Tenaya)
- Lifecare Infusion Inc. (Lifecare Infusion Ctr)
- Lifecare Medical Supplies Inc
- Lifecare Medical Supplies West Inc
- Lifecare Pharmacy LLC (LifeCare Specialty Pharmacy)
- Lifecare Pharmacy, LLC (Care N Home Pharmacy)
- Lifecare, LLC. (LifeCare Hospice)
- Lifefirst Pharmacy
- Lifeline Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.