Organization Active NPI

Utnv Lakes Operator LLC

  • Assisted Living Facility
  • Las Vegas, NV
National Provider Identifier
1558784686
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
UTNV LAKES OPERATOR LLC
Practice address
2620 Lake Sahara Dr
Las Vegas, NV 89117-3439
Phone
(702) 233-9800
Fax
(702) 233-8899
NPI assigned
Jan 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth R. Assiran
Title
Authorized Signatory
Phone
(410) 769-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2620 Lake Sahara Dr
Las Vegas, NV 89117-3439

Mailing address

2620 Lake Sahara Dr
Las Vegas, NV 89117-3439
Phone (702) 233-9800

Other names 1

  • The Wentworth of Las Vegas Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2278599Wentworth of Las Vegas2620 Lake Sahara Dr, Las Vegas, NV 89117Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1558784686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 LAKE SAHARA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173439",
            "telephone_number": "702-233-9800",
            "fax_number": "702-233-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 LAKE SAHARA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173439",
            "telephone_number": "702-233-9800",
            "fax_number": "702-233-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTNV LAKES OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "ASSIRAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "410-769-5882"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wentworth of Las Vegas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.