Healthcare Provider Details

I. General information

NPI: 1790243905
Provider Name (Legal Business Name): RCI FACILITIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2019
Last Update Date: 04/21/2020
Certification Date: 04/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6085 S LAMB BLVD
LAS VEGAS NV
89120-2315
US

IV. Provider business mailing address

6085 S LAMB BLVD
LAS VEGAS NV
89120-2315
US

V. Phone/Fax

Practice location:
  • Phone: 702-724-0218
  • Fax: 702-478-6477
Mailing address:
  • Phone: 702-724-0218
  • Fax: 702-478-6477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE CROCK
Title or Position: ADMINISTRATOR
Credential: RFA
Phone: 702-858-4559