Active NPI
Caremeridian, LLC
Doing business as Neurorestorative
- Skilled Nursing Facility
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CAREMERIDIAN, LLC
- Doing business as
- Neurorestorative
- Practice address
- 3391 N Buffalo Dr
Las Vegas, NV 89129-6283 - Phone
- (949) 263-6632
- Fax
- (949) 261-0457
- NPI assigned
- Mar 19, 2012
- Organization subpart
- Yes
- Parent organization
- NATIONAL MENTOR HEALTHCARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sean Shea
- Title
- Director of Finance
- Phone
- (617) 688-5251
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NV | Primary |
Addresses
Primary practice location
3391 N Buffalo Dr
Las Vegas, NV 89129-6283
Mailing address
163 Technology Dr Ste 200
Irvine, CA 92618-2486
Phone (949) 794-0787
Other names 1
- Neurorestorative
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140304001625 | NV | Part A Provider - Skilled Nursing Facility | 3577625946 | Practice locations: Las Vegas, NV |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1558636993. Details of each certification follow.
Skilled nursing facility certification: CCN 295091
- Legal name
- CAREMERIDIAN LLC
- Doing business as
- NEURORESTORATIVE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 12, 2013
- Last certification
- Feb 27, 2025
- Beds
- 24
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- SEVITA HEALTH
- Organization structure
- LLC
- Incorporated
- Aug 15, 2008 in DE
- Enrollment address
- 3391 N Buffalo Dr
Las Vegas, NV 89129-6283 - Nursing home name
- NEURORESTORATIVE
- Affiliated entity
- NEURORESTORATIVE
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Neurorestorative
- Skilled Nursing Facility
- Las Vegas, NV
- NPI 1083707764
3577625946
-
dba Neurorestorative
- Skilled Nursing Facility
- Littleton, CO
- NPI 1497020093
3577625946
-
dba Neurorestorative
- Skilled Nursing Facility
- Riverton, UT
- NPI 1609306091
3577625946
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Neurorestorative
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 12, 2013
- Medicare certification status
- Active
- Certified beds
- 24
- Chain
- Neurorestorative
National Provider Directory
National Provider Directory- Part of
- National Mentor Healthcare LLC
Locations
3391 N Buffalo Dr
Las Vegas, NV 89129
Phone (702) 800-8860
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| William P McKinney | Corporate Officer | Oct 21, 2019 | |
| Operational/Managerial Control | Oct 21, 2019 | ||
| William F Duffy | Corporate Officer | Nov 1, 2017 | 100% |
| Operational/Managerial Control | Nov 1, 2017 | 100% | |
| National Mentor Holdings LLC | 5% Or Greater Indirect Ownership Interest | Nov 22, 2000 | 100% |
| Caremeridian LLC | 5% Or Greater Direct Ownership Interest | Aug 15, 2008 | 100% |
| Peter E Gladitsch | Corporate Officer | Feb 1, 2020 | |
| National Mentor Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Nov 22, 2000 | 100% |
| Brett I Cohen | Corporate Officer | Dec 14, 2015 | |
| Bruce W Kuluris | Corporate Director | Jan 17, 2018 | |
| W-2 Managing Employee | Jan 17, 2018 | ||
| National Mentor Healthcare LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2008 | 100% |
| Operational/Managerial Control | Oct 1, 2008 | 100% | |
| Celtic Intermediate Corp. | 5% Or Greater Indirect Ownership Interest | Mar 8, 2019 | 100% |
| Gina Martin | Corporate Officer | Jan 1, 2019 | 100% |
| National Mentor LLC | 5% Or Greater Indirect Ownership Interest | Nov 6, 2002 | 100% |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Neurorestorative
- Skilled Nursing Facility
- Las Vegas, NV
- NPI 1083707764
5% Or Greater Direct Ownership Interest
-
dba Neurorestorative
- Skilled Nursing Facility
- Reno, NV
- NPI 1407357247
5% Or Greater Direct Ownership Interest
-
dba Neurorestorative
- Skilled Nursing Facility
- Littleton, CO
- NPI 1497020093
5% Or Greater Direct Ownership Interest
-
dba Neurorestorative
- Skilled Nursing Facility
- Riverton, UT
- NPI 1609306091
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Neurorestorative | Skilled nursing facility | Operational/Managerial Control (100%) | Oct 1, 2008 |
| Neurorestorative | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 15, 2008 |
| Neurorestorative | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2017 |
| Neurorestorative | Skilled nursing facility | Operational/Managerial Control (100%) | Oct 1, 2008 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Neurorestorative
- Skilled Nursing Facility
- Las Vegas, NV
- NPI 1083707764
Operational/Managerial Control
-
dba Neurorestorative
- Skilled Nursing Facility
- Reno, NV
- NPI 1407357247
Operational/Managerial Control
-
dba Neurorestorative
- Skilled Nursing Facility
- Littleton, CO
- NPI 1497020093
5% Or Greater Direct Ownership Interest
-
dba Neurorestorative
- Skilled Nursing Facility
- Riverton, UT
- NPI 1609306091
5% Or Greater Direct Ownership Interest
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Neurorestorative
- Skilled Nursing Facility
- Las Vegas, NV
- NPI 1083707764
Caremeridian LLC, Celtic Intermediate Corp., National Mentor Healthcare LLC, National Mentor Holdings LLC, National Mentor Holdings, Inc., National Mentor LLC
-
dba Neurorestorative
- Skilled Nursing Facility
- Reno, NV
- NPI 1407357247
Caremeridian LLC, National Mentor Healthcare LLC
-
dba Neurorestorative
- Skilled Nursing Facility
- Littleton, CO
- NPI 1497020093
Caremeridian LLC, Celtic Intermediate Corp., National Mentor Healthcare LLC, National Mentor Holdings LLC, National Mentor Holdings, Inc., National Mentor LLC
-
dba Neurorestorative
- Skilled Nursing Facility
- Riverton, UT
- NPI 1609306091
Caremeridian LLC, Celtic Intermediate Corp., National Mentor Healthcare LLC, National Mentor Holdings LLC, National Mentor Holdings, Inc., National Mentor LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1730387176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565654400000",
"number": "1558636993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 TECHNOLOGY DR STE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182486",
"telephone_number": "949-794-0787",
"fax_number": "949-261-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3391 N BUFFALO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891296283",
"telephone_number": "949-263-6632",
"fax_number": "949-261-0457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREMERIDIAN, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE, LLC",
"enumeration_date": "2012-03-19",
"last_updated": "2019-08-13",
"status": "A",
"authorized_official_last_name": "SHEA",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "617-688-5251",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Neurorestorative",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
- Caregiving Excellence, LLC Dba Acti-Kare Responsive in-Home Care
- Carelink Medical Group of Nevada LLC
- Caremark L.L.C. (CVS Specialty)
- Caremax Health Group, LLC
- Caremeridian, LLC (Neurorestorative)
- Caremore Health Plan
- Caremore Health Plan
- Caremore Health Plan of Nevada
- Caremore Home Health Care LLC
- Carepartnersmd LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.