Healthcare Provider Details

I. General information

NPI: 1225671290
Provider Name (Legal Business Name): NADHC AT THE ACSC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2019
Last Update Date: 10/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 N. 13TH STREET
LAS VEGAS NV
89101
US

IV. Provider business mailing address

2008 S JONES BLVD
LAS VEGAS NV
89146-3151
US

V. Phone/Fax

Practice location:
  • Phone: 702-384-3746
  • Fax: 702-366-0498
Mailing address:
  • Phone: 702-319-4600
  • Fax: 702-319-4604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. CRISTINA V VITO
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 702-319-4600