MEDICARE: AHC OF LAS VEGAS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1790091353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHC OF LAS VEGAS LLC

Provider Business Mailing Address
First Line	:	5840 W SUNSET RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3449
Country	:	US
Telephone Number	:	702-967-6100
Fax Number	:	702-967-6150

Provider Business Practice Location Address
First Line	:	5840 W SUNSET RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3449
Country	:	US
Telephone Number	:	702-967-6100
Fax Number	:	702-967-6150

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NATHAN OXNAM
Credential	:
Telephone Number	:	385-622-4500

Provider Enumeration Date	:	08/20/2010
Last Update Date	:	09/15/2025

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