LAS VEGAS OUTPATIENT REHABILITATION CORPORATION NPI 1407115546

NPI Information

NPI: 1407115546
Provider Name: LAS VEGAS OUTPATIENT REHABILITATION CORPORATION
Classification: Registered Nurse - 163WA2000X
Entity Type: Organization

Specialization: Administrator

Address:
534 S DECATUR BLVD
LAS VEGAS, NV
ZIP 89107
Phone: (702) 822-5814
Get Directions

LAS VEGAS OUTPATIENT REHABILITATION CORPORATION is an administrator registered nurse in Las Vegas, NV. LAS VEGAS OUTPATIENT REHABILITATION CORPORATION NPI is 1407115546. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

534 S DECATUR BLVD
LAS VEGAS, NV
ZIP 89107-931
Phone: (702) 822-5814
Fax: (702) 822-5816

The provider's authorized official is Delsa Dagalea .
The authorized official title is Clinic Administrator and has the following contact phone number (702) 822-5814.

The enumeration date for this NPI number is 5/10/2012 and was last updated on 4/24/2014.

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	2279P1005X	Respiratory Therapist, Registered	Pulmonary Rehabilitation	RC651	NEVADA	No
2	163WA2000X	Registered Nurse	Administrator	TRN302247	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	294511	MEDICARE OSCAR/CERTIFICATION	NEVADA

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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