Healthcare Provider Details
I. General information
NPI: 1760865745
Provider Name (Legal Business Name): PREMIER HEALTH AND REHABILITATION CENTER OF LAS VEGAS, LP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2015
Last Update Date: 05/02/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2945 CASA VEGAS ST
LAS VEGAS NV
89169-2248
US
IV. Provider business mailing address
5900 WILSHIRE BLVD SUITE 1600
LOS ANGELES CA
90036-5013
US
V. Phone/Fax
- Phone: 702-735-7179
- Fax: 702-699-8575
- Phone: 323-330-6572
- Fax: 866-603-3566
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | NV |
VIII. Authorized Official
Name:
SHLOMO
RECHNITZ
Title or Position: MANAGING MEMBER
Credential:
Phone: 323-330-6572