NPIMap

Organization Active NPI

South Las Vegas Medical Investors, LLC

Doing business as Life Care Center of South Las Vegas

  • Skilled Nursing Facility
  • Las Vegas, NV
National Provider Identifier
1700837416
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1195SNF-16 Issued in NV
Legal business name
SOUTH LAS VEGAS MEDICAL INVESTORS, LLC
Doing business as
Life Care Center of South Las Vegas
Practice address
2325 E Harmon Ave
Las Vegas, NV 89119-7848
Phone
(702) 798-7990
Fax
(702) 798-9910
NPI assigned
May 15, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Cindy S Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1195SNF-16 NV Primary

Addresses

Primary practice location

2325 E Harmon Ave
Las Vegas, NV 89119-7848

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers 1

IdentifierTypeStateIssuer
1902011MedicaidNV

Other names 1

  • Life Care Center of South Las Vegas Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040622000583 NV Part A Provider - Skilled Nursing Facility 6406831684 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700837416. Details of each certification follow.

Skilled nursing facility certification: CCN 295076

Legal name
SOUTH LAS VEGAS MEDICAL INVESTORS LLC
Doing business as
LIFE CARE CENTER OF SOUTH LAS VEGAS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 23, 2000
Last certification
Aug 9, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
South Las Vegas Medical Investors, LLC
Organization structure
LLCProprietary
Enrollment address
2325 E Harmon Ave
Las Vegas, NV 89119-7848
Nursing home name
LIFE CARE CENTER OF SOUTH LAS VEGAS
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of South Las VegasCCN 295076 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 23, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120115.2 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
1Fines totaling $27,378

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0938383Life Care Center of South Las Vegas2325 E Harmon Ave, Las Vegas, NV 89119Certificate of waiverJan 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
South Las Vegas Medical Investors LLC2 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 16

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

NameRoleSinceShare
Nicole Smith Individual Operational/Managerial Control Oct 1, 2024
Managing Control - Governing BodyDirector of Nursing Oct 1, 2024
Forrest L Preston Individual 5% Or Greater Direct Ownership InterestMember Mar 23, 1995 99%
Adp of the SNF May 24, 1995
Terry Henry Individual Corporate OfficerAsst. Treasurer of Management Co. Aug 16, 1999
Todd Fletcher Individual Operational/Managerial Control Dec 13, 2024
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control May 1, 2016
Direct Ownership Interest May 1, 2016 1%
Aubrey Preston Individual Corporate DirectorDirector Dec 13, 2024
Operational/Managerial Control Dec 13, 2024
Roland Pua Individual Operational/Managerial Control Jan 1, 2020
Adp of the SNF Feb 25, 2025
Jeffrey Minor Individual Operational/Managerial Control Jul 18, 2022
Managing Control - Governing BodyAdministrator Jul 18, 2022
Adp of the SNF Feb 25, 2025
Joan E Thurmond Individual Corporate OfficerAsst Secretary of Management Co. Sep 22, 2000
Nancy Butner Individual Operational/Managerial Control Sep 16, 2018
Managing Control - Governing BodyDivisional Vice President Sep 16, 2018
Cindy S Cross Individual Corporate OfficerVP/Asst Secretary of Management Co. Dec 1, 1997
South Las Vegas Medical Investors LLC Organization, Cleveland, TN LLC, For-profit Operational/Managerial Control Dec 1, 1997
Adp of the SNF Jul 24, 1995
Richard Swanker Individual Corporate OfficerChief Tax Officer of Management Co. Apr 1, 2011
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Dec 1, 1997 100%
Adp of the SNF Feb 25, 2025
Lisa M Lay Individual Corporate OfficerSecretary of Management Company Feb 9, 2018
James Ziegler Individual Operational/Managerial Control Dec 13, 2024

Owners & managing parties with NPI records 26

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 26

Facilities with the same owner 193

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

View all 193

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1700837416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 E HARMON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197848",
            "telephone_number": "702-798-7990",
            "fax_number": "702-798-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LAS VEGAS MEDICAL INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "1195SNF-16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902011",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of South Las Vegas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.