NPIMap

Organization Active NPI

Department of Veterans Affairs

  • Nursing Facility/Intermediate Care Facility
  • Las Vegas, NV
National Provider Identifier
1659545648
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
RN53305 Issued in NV
Legal business name
DEPARTMENT OF VETERANS AFFAIRS
Practice address
5555 Baker Bowl CT
Las Vegas, NV 89148-4630
Phone
(702) 653-3633
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Vernon Maniago, RN
Title
Registered Nurse
Phone
(702) 677-1077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X RN53305 NV Primary

Addresses

Primary practice location

5555 Baker Bowl CT
Las Vegas, NV 89148-4630

Mailing address

5555 Baker Bowl CT
Las Vegas, NV 89148-4630

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1659545648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 BAKER BOWL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 BAKER BOWL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484630",
            "telephone_number": "702-653-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MANIAGO",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "702-677-1077",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NV",
            "license": "RN53305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 22, 2008; 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.