Organization Active NPI

Caremeridian, LLC

Doing business as Neurorestorative

  • Skilled Nursing Facility
  • Las Vegas, NV
National Provider Identifier
1558636993
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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).

Care Compare: Nursing home

Medicare Care Compare
Listed as
NeurorestorativeCCN 295091 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 12, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2422.8 residents per day on average
Chain
Neurorestorative5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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.

NameRoleSinceShare
William P McKinney Individual Corporate OfficerCeo Oct 21, 2019
Operational/Managerial ControlCeo Oct 21, 2019
William F Duffy Individual Corporate Officer Nov 1, 2017 100%
Operational/Managerial Control Nov 1, 2017 100%
National Mentor Holdings LLC Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest Nov 22, 2000 100%
Caremeridian LLC Organization, Irvine, CA LLC 5% Or Greater Direct Ownership Interest Aug 15, 2008 100%
Peter E Gladitsch Individual Corporate OfficerCfo Feb 1, 2020
National Mentor Holdings, Inc. Organization, Boston, MA Corporation 5% Or Greater Indirect Ownership Interest Nov 22, 2000 100%
Brett I Cohen Individual Corporate OfficerCoo Dec 14, 2015
Bruce W Kuluris Individual Corporate Director Jan 17, 2018
W-2 Managing EmployeeVice President of Operations Jan 17, 2018
National Mentor Healthcare LLC Organization, Boston, MA LLC 5% Or Greater Direct Ownership Interest Oct 1, 2008 100%
Operational/Managerial Control Oct 1, 2008 100%
Celtic Intermediate Corp. Organization, Boston, MA Corporation 5% Or Greater Indirect Ownership Interest Mar 8, 2019 100%
Gina Martin Individual Corporate Officer Jan 1, 2019 100%
National Mentor LLC Organization, Boston, MA 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.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
NeurorestorativeLas Vegas, NV, CCN 295084 Skilled nursing facility Operational/Managerial Control (100%) Oct 1, 2008
NeurorestorativeLittleton, CO, CCN 065402 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2008
NeurorestorativeRiverton, UT, CCN 465179 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2017
NeurorestorativeReno, NV, CCN 295103 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.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

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

Sources for this page

Verify at the official NPI Registry.