Healthcare Provider Details

I. General information

NPI: 1366520884
Provider Name (Legal Business Name): TRANSITIONAL HOSPITALS CORPORATION OF NEVADA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5110 W SAHARA AVE
LAS VEGAS NV
89146
US

IV. Provider business mailing address

5110 W SAHARA AVE
LAS VEGAS NV
89146-3406
US

V. Phone/Fax

Practice location:
  • Phone: 702-871-1418
  • Fax: 702-871-4713
Mailing address:
  • Phone: 702-871-1418
  • Fax: 702-871-4713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number664HOS-18
License Number StateNV

VIII. Authorized Official

Name: KATHY TEAGUE
Title or Position: VICE PRESIDENT, CORPORATE SECRETARY
Credential:
Phone: 629-253-5121