Healthcare Provider Details

I. General information

NPI: 1275313108
Provider Name (Legal Business Name): NEIGHBORHOODLV CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 09/28/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 S RAINBOW BLVD
LAS VEGAS NV
89118-0624
US

IV. Provider business mailing address

5250 S RAINBOW BLVD
LAS VEGAS NV
89118-0624
US

V. Phone/Fax

Practice location:
  • Phone: 702-265-5901
  • Fax:
Mailing address:
  • Phone: 702-265-5901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAFI ALRABINKE
Title or Position: VICE PRESIDENT
Credential:
Phone: 702-265-5901