Las Vegas Outpatient Rehabilitation Corporation

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

TRN302247 Issued in NV

Legal business name

LAS VEGAS OUTPATIENT REHABILITATION CORPORATION

Practice address

534 S Decatur Blvd
Las Vegas, NV 89107-3931

Phone

(702) 822-5814

Fax

(702) 822-5816

NPI assigned

May 10, 2012

Last updated

Apr 24, 2014By 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

Delsa Dagalea, RN

Title

Clinic Administrator

Phone

(702) 822-5814

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1407115546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073931",
            "telephone_number": "702-822-5814",
            "fax_number": "702-822-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073931",
            "telephone_number": "702-822-5814",
            "fax_number": "702-822-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS OUTPATIENT REHABILITATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "DAGALEA",
        "authorized_official_first_name": "DELSA",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "702-822-5814",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "NV",
            "license": "TRN302247",
            "primary": true
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "NV",
            "license": "RC651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Las Vegas Operations, LLC (Life Care Center of Las Vegas)
• Las Vegas Operations, LLC
• Las Vegas Ophthalmology ASC LLC (American Surgery Centers of Las Vegas)
• Las Vegas Oral Surgery Inc (Las Vegas Oral Surgery)
• Las Vegas Outpatient Rehabilitation Corporation
• Las Vegas Pain Institute and Medical Center, LLC (Las Vegas Pain Institute and Medical Center)
• Las Vegas Paiute Tribe
• Las Vegas Paiute Tribe Clinic
• Las Vegas Paiute Tribe Health & Human Services
• Las Vegas Paiute Tribe Health and Human Services

• Administrator Registered Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Administrator Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.