Healthcare Provider Details

I. General information

NPI: 1023714714
Provider Name (Legal Business Name): TRANSITIONAL HOSPITALS CORPORATION OF NEVADA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2023
Last Update Date: 05/24/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 E FLAMINGO RD
LAS VEGAS NV
89119-5170
US

IV. Provider business mailing address

2250 E FLAMINGO RD
LAS VEGAS NV
89119-5170
US

V. Phone/Fax

Practice location:
  • Phone: 702-784-4300
  • Fax:
Mailing address:
  • Phone: 702-784-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: KATHY TEAGUE
Title or Position: VP LEGAL PROCESSES/CORP. SECRETARY
Credential:
Phone: 629-253-5121