Active NPI
Utnv Lakes Operator LLC
- Assisted Living Facility
- Las Vegas, NV
National Provider Identifier
1558784686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2278599 | Wentworth of Las Vegas | Certificate of waiver | Mar 20, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.