Kindred Nevada, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

8098SNF-1 Issued in NV

Legal business name

KINDRED NEVADA, LLC

Practice address

5650 S Rainbow Blvd
Las Vegas, NV 89118-1808

Phone

(702) 470-1102

Fax

(702) 252-0429

NPI assigned

Jul 2, 2014

Organization subpart

No

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

Authorized official

Name

Terrance K. Dillon

Title

Assistant Secretary

Phone

(502) 596-7220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kindred Transitional Care and Rehabilitation-Spring Valley Doing business as

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1659787356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181808",
            "telephone_number": "702-470-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181808",
            "telephone_number": "702-470-1102",
            "fax_number": "702-252-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "8098SNF-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPERATING LICENSE",
            "identifier": "8098SNF-1",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Transitional Care and Rehabilitation-Spring Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Transitional Care and Rehabilitation-Spring Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Skilled Nursing Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.