Gaye Haven Intermediate Care Fac

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

51 Issued in NV

Legal business name

GAYE HAVEN INTERMEDIATE CARE FAC

Practice address

1813 Betty Lane
Las Vegas, NV 89156-6728

Phone

(702) 452-8399

Fax

(702) 452-8241

NPI assigned

Feb 23, 2007

Last updated

Aug 22, 2020By 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

Mrs. Sandra V Manetas

Title

Administrator

Phone

(702) 452-8399

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558497784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 BETTY LANE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891566728",
            "telephone_number": "702-452-8399",
            "fax_number": "702-452-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 BETTY LANE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891566728",
            "telephone_number": "702-452-8399",
            "fax_number": "702-452-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYE HAVEN INTERMEDIATE CARE FAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANETAS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-452-8399",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NV",
            "license": "51",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romielle Marie Gay, LCPC
• Sean Gay
• Jennifer Renia Gayan, LCSW
• Gerald Ramirez Gayares, PCA
• Jabril Gayden
• Arainesha Lydia Gaye, RBT
• Empress Gaye
• Jeannie Gaye, LCSW
• Robin Gayer
• Serina Gayheart

• Nursing Facility/Intermediate Care Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nursing Facility/Intermediate Care Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.