CHARLESTON RESIDENTIAL SERVICES LLC NPI 1083167290

NPI Information

NPI: 1083167290
Provider Name: CHARLESTON RESIDENTIAL SERVICES LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2121 W CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89102
Phone: (702) 382-7746
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CHARLESTON RESIDENTIAL SERVICES LLC is an assisted living facility in Las Vegas, NV. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CHARLESTON RESIDENTIAL SERVICES LLC NPI is 1083167290. The provider is registered as an organization entity type.

The provider's business location address is:

2121 W CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89102-205
Phone: (702) 382-7746

The provider's authorized official is Jeffrey Iverson .
The authorized official title is President and has the following contact phone number (702) 357-8811.

The enumeration date for this NPI number is 7/25/2016 and was last updated on 7/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	311ZA0620X	Custodial Care Facility	Adult Care Home			No
2	310400000X	Assisted Living Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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