Preferred Care West II Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

181180 Issued in NV

Legal business name

PREFERRED CARE WEST II INC

Doing business as

Mission Pines Nursing and Rehab

Practice address

2860 E Cheyenne Ave
North Las Vegas, NV 89030-4234

Phone

(702) 644-7777

Fax

(702) 644-5909

NPI assigned

May 21, 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

Mr. Troy Maldoven

Title

Administrator

Phone

(702) 644-7777

Specialties & licenses 1

Addresses

Other names 1

• MISSION PINES NURSING AND REHAB Doing business as

Tax ID family

Mission Pines Nursing and Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Preferred Care West II Inc

  dba Mission Pines Nursing and Rehab Center

  • Nursing Facility/Intermediate Care Facility
  • North Las Vegas, NV
  • NPI 1184607632
  NPD tax ID

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598974487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 E CHEYENNE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890304234",
            "telephone_number": "702-644-7777",
            "fax_number": "702-644-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 E CHEYENNE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890304234",
            "telephone_number": "702-644-7777",
            "fax_number": "702-644-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CARE WEST II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALDOVEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-644-7777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NV",
            "license": "181180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSION PINES NURSING AND REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Pratt
• Haleha Pratt
• Monica Denise Pratt
• Crystal Wanda Prawl
• Preferred Care West II Inc (Mission Pines Nursing and Rehab Center)
• Preserve Life Sober Living-Davis Home
• Stephanie Presley
• Press on LLC
• Krystal A Press
• Kaniyah Preston

• Nursing Facility/Intermediate Care Facility in North Las Vegas, NV
• Providers in North 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.