NPIMap

Organization Active NPI

Thi of Nevada II at North Las Vegas, LLC

  • Skilled Nursing Facility
  • North Las Vegas, NV
National Provider Identifier
1679660864
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THI OF NEVADA II AT NORTH LAS VEGAS, LLC
Practice address
3215 E Cheyenne Ave
North Las Vegas, NV 89030-4235
Phone
(702) 649-7800
Fax
(702) 649-2144
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Becky Moreno
Title
President
Phone
(702) 649-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3215 E Cheyenne Ave
North Las Vegas, NV 89030-4235

Mailing address

930 Ridgebrook Rd
Sparks, MD 21152-9390
Phone (410) 773-1000

Other identifiers 1

IdentifierTypeStateIssuer
00190202340MedicaidNV

Other names 1

  • North Las Vegas Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040622000444 NV Part A Provider - Skilled Nursing Facility 1658356829 Practice locations: North Las Vegas, NV

Skilled nursing facility certification: CCN 295036

Legal name
THI OF NEVADA II AT NORTH LAS VEGAS, LLC
Doing business as
NORTH LAS VEGAS CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 15, 1980
Last certification
Sep 11, 2024
Beds
182
Ownership / control type
Individual
Organization structure
LLCProprietary
Incorporated
Jul 18, 2003 in DE
Enrollment address
3215 E Cheyenne Ave
North Las Vegas, NV 89030-4235
Nursing home name
NORTH LAS VEGAS CARE CENTER
Affiliated entity
FUNDAMENTAL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
North Las Vegas Care CenterCCN 295036
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Sep 15, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
182154.3 residents per day on average
Chain
Fundamental Healthcare66 facilities in the chain
Penalties (3 years)
1Fines totaling $9,311

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
North Las Vegas Care Center2 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.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thi of Nevada II Inc Organization, Las Vegas, NV For-profit 5% Or Greater Direct Ownership Interest Aug 30, 2003 100%
Mistie Montes Individual Corporate OfficerPresident May 21, 2021
W-2 Managing EmployeeAdministrator May 21, 2021
Murray Forman Individual 5% Or Greater Indirect Ownership Interest Mar 28, 2006 100%
Thi of Baltimore, Inc. Organization, Sparks, MD For-profit 5% Or Greater Indirect Ownership Interest Aug 30, 2003 100%
Hunt Valley Holdings LLC Organization, Sparks, MD For-profit 5% Or Greater Indirect Ownership Interest Mar 28, 2006 100%

Facilities with the same owner 40

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 40

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1679660864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 E CHEYENNE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890304235",
            "telephone_number": "702-649-7800",
            "fax_number": "702-649-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF NEVADA II AT NORTH LAS VEGAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-649-7800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00190202340",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Las Vegas Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.