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NPI Code Detail

MEDICARE: LIFECARE HOSPITAL AT TENAYA LLC

MEDICARE: LIFECARE HOSPITAL AT TENAYA LLC
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
1282E00000XLong Term Care HospitalNV

General Provider Information

NPI Number : 1649563891
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFECARE HOSPITAL AT TENAYA LLC
Provider Business Mailing Address
First Line : 5340 LEGACY DR
Second Line : SUITE 150
City : PLANO
State : TX
Zip : 75024-3178
Country : US
Telephone Number : 469-241-2100
Fax Number : 469-241-2177
Provider Business Practice Location Address
First Line : 2500 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0482
Country : US
Telephone Number : 888-735-4933
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT, REIMBURSEMENT
Name : MR. JOHN MICHAEL CRONIN
Credential : CPA
Telephone Number : 469-241-2128
Provider Enumeration Date : 05/20/2011
Last Update Date : 10/04/2013

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Directions to “LIFECARE HOSPITAL AT TENAYA LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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