Healthcare Provider Details

I. General information

NPI: 1013142033
Provider Name (Legal Business Name): LIFE POINT SENIOR SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 01/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3885 S DECATUR BLVD SUITE 2010
LAS VEGAS NV
89103-5855
US

IV. Provider business mailing address

3885 S DECATUR BLVD SUITE 2010
LAS VEGAS NV
89103-5855
US

V. Phone/Fax

Practice location:
  • Phone: 702-646-3805
  • Fax: 702-646-3807
Mailing address:
  • Phone: 702-646-3805
  • Fax: 702-646-3807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: CHATTY BECKER
Title or Position: SECRETARY
Credential:
Phone: 702-646-3805