MEDICARE: NEIGHBORHOODLV CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1275313108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOODLV CORPORATION

Provider Business Mailing Address
First Line	:	5250 S RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-0624
Country	:	US
Telephone Number	:	702-265-5901
Fax Number	:

Provider Business Practice Location Address
First Line	:	5250 S RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-0624
Country	:	US
Telephone Number	:	702-265-5901
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	RAFI ALRABINKE
Credential	:
Telephone Number	:	702-265-5901

Provider Enumeration Date	:	09/28/2023
Last Update Date	:	09/28/2023

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