Eljen Medical Hospital

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1181SNF10 Issued in NV

Legal business name

ELJEN MEDICAL HOSPITAL

Practice address

5538 Duncan Dr
Las Vegas, NV 89130-2812

Phone

(702) 645-2606

Fax

(702) 645-1478

NPI assigned

Aug 10, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Toomey

Title

Owner

Phone

(702) 645-2606

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EL JEN CONVALESCENT HOSPITAL Doing business as

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1992707806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 DUNCAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302812",
            "telephone_number": "702-645-2606",
            "fax_number": "702-645-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5538 DUNCAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302812",
            "telephone_number": "702-645-2606",
            "fax_number": "702-645-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELJEN MEDICAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "TOOMEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-645-2606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NV",
            "license": "1181SNF10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001902849",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL JEN CONVALESCENT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Las Vegas, NV
• Providers in 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 May 20, 2010; 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.