Organization Active NPI

PR Acquisition Corporation

  • Rehabilitation Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1346201035
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PR ACQUISITION CORPORATION
Practice address
821 N Nellis Blvd
Ste 130
Las Vegas, NV 89110-5339
Phone
(702) 452-4563
NPI assigned
Mar 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Michael Tarvin
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

821 N Nellis Blvd
Ste 130
Las Vegas, NV 89110-5339

Mailing address

821 N Nellis Blvd
Ste 130
Las Vegas, NV 89110-5339
Phone (702) 452-4563

National Provider Directory

National Provider Directory

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1346201035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N NELLIS BLVD",
            "address_2": "STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105339",
            "telephone_number": "702-452-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N NELLIS BLVD",
            "address_2": "STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105339",
            "telephone_number": "702-452-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR ACQUISITION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 1, 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.