Healthcare Provider Details

I. General information

NPI: 1780090621
Provider Name (Legal Business Name): SILVER STATE ADULT DAY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 07/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W WASHINGTON AVE
LAS VEGAS NV
89106-3731
US

IV. Provider business mailing address

2600 S RAINBOW BLVD STE 108
LAS VEGAS NV
89146-4006
US

V. Phone/Fax

Practice location:
  • Phone: 702-631-8000
  • Fax: 702-655-1417
Mailing address:
  • Phone: 702-655-1400
  • Fax: 702-655-1417

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: DR. ZAHID HAMID
Title or Position: MD/DIRECTOR
Credential: MD
Phone: 702-631-8000