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LIFESHARE CARE HOME NEVADA NPI 1811353576


NPI Information

NPI: 1811353576
Provider Name: LIFESHARE CARE HOME NEVADA
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
7925 W ROSADA WAY
LAS VEGAS, NV
ZIP 89149
Phone: (702) 722-6783
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LIFESHARE CARE HOME NEVADA is a residential treatment facility physical disabilities in Las Vegas, NV. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. LIFESHARE CARE HOME NEVADA NPI is 1811353576. The provider is registered as an organization entity type.

The provider's business location address is:

7925 W ROSADA WAY
LAS VEGAS, NV
ZIP 89149-208
Phone: (702) 722-6783
Fax: (702) 998-0280

The provider's authorized official is Belinda Devano .
The authorized official title is President/administrator and has the following contact phone number (408) 854-0735.

The enumeration date for this NPI number is 1/12/2016 and was last updated on 1/12/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320700000XResidential Treatment Facility, Physical Disabilities6087AGC-6NEVADAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19005057235MEDICAIDNEVADA

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: 4/28/2024

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