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TLC COSTA BRAVA RD NPI 1215602073


NPI Information

NPI: 1215602073
Provider Name: TLC COSTA BRAVA RD
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 29D2223779

Address:
6737 COSTA BRAVA RD
LAS VEGAS, NV
ZIP 89146
Phone: (702) 228-1770
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TLC COSTA BRAVA RD is an adult care home custodial care facility in Las Vegas, NV. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. TLC COSTA BRAVA RD NPI is 1215602073. The provider is registered as an organization entity type.

The provider's business location address is:

6737 COSTA BRAVA RD
LAS VEGAS, NV
ZIP 89146-573
Phone: (702) 228-1770
Fax: (702) 889-6606

The provider's authorized official is Dora Valentin .
The authorized official title is Administrator and has the following contact phone number (702) 608-7238.

The CLIA number assigned to this NPI record is 29D2223779 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2021 and was last updated on 8/13/2021.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

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

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