Organization Active NPI

PR Acquisition Corporation

  • Rehabilitation Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1356377733
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PR ACQUISITION CORPORATION
Practice address
6330 Spring Mountain Rd
Ste E
Las Vegas, NV 89146-8842
Phone
(702) 228-4559
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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) 975-4503

Specialties & licenses 1

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

Addresses

Primary practice location

6330 Spring Mountain Rd
Ste E
Las Vegas, NV 89146-8842

Mailing address

6330 Spring Mountain Rd
Ste E
Las Vegas, NV 89146-8842
Phone (702) 228-4559

National Provider Directory

National Provider Directory

Locations

6330 Spring Mountain Rd
Ste E
Las Vegas, NV 89146
Phone (702) 228-4559

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1356377733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 SPRING MOUNTAIN RD",
            "address_2": "STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468842",
            "telephone_number": "702-228-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 SPRING MOUNTAIN RD",
            "address_2": "STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468842",
            "telephone_number": "702-228-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR ACQUISITION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-975-4503"
    },
    "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 Mar 5, 2008; 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.