LIFECARE PARTNERS NPI 1346113859

NPI Information

  • NPI: 1346113859
  • Provider Name: LIFECARE PARTNERS
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 4416 E BONANZA RD UNIT 120B
    LAS VEGAS, NV
    ZIP 89110
  • Phone: (702) 350-1204

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NPI Details

LIFECARE PARTNERS is a federally qualified health center (fqhc) clinic center in Las Vegas, NV. LIFECARE PARTNERS NPI is 1346113859. The provider is registered as an organization entity type.

The provider's business location address is:

4416 E BONANZA RD UNIT 120B
LAS VEGAS, NV
ZIP 89110-349
Phone: (702) 350-1204

The provider's authorized official is Jami Nicole Dybik .
The authorized official title is Authorizing Official and has the following contact phone number (843) 814-5177.

The enumeration date for this NPI number is 9/29/2025 and was last updated on 9/29/2025.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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: 11/21/2025

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