Healthcare Provider Details

I. General information

NPI: 1689732489
Provider Name (Legal Business Name): NEVADA ADULT DAY HEALTHCARE CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2008 S. JONES BLVD.
LAS VEGAS NV
89146-3151
US

IV. Provider business mailing address

2008 S. JONES BLVD.
LAS VEGAS NV
89146-3151
US

V. Phone/Fax

Practice location:
  • Phone: 702-319-4600
  • Fax: 702-319-4604
Mailing address:
  • Phone: 702-319-4600
  • Fax: 702-319-4604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number120ADC
License Number StateNV

VIII. Authorized Official

Name: MRS. CRISTINA V VITO
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 702-319-4600