Basic Information
| Provider Information | |||||||||
| NPI: | 1760865745 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PREMIER HEALTH AND REHABILITATION CENTER OF LAS VEGAS, LP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5900 WILSHIRE BLVD | ||||||||
| Address2: | SUITE 1600 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900365013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3233306572 | ||||||||
| FaxNumber: | 8666033566 | ||||||||
| Practice Location | |||||||||
| Address1: | 2945 CASA VEGAS ST | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891692248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027357179 | ||||||||
| FaxNumber: | 7026998575 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2015 | ||||||||
| LastUpdateDate: | 05/02/2022 | ||||||||
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| AuthorizedOfficialLastName: | RECHNITZ | ||||||||
| AuthorizedOfficialFirstName: | SHLOMO | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGING MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 3233306572 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 05/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | NV | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.