MEDICARE: NEVADA ADULT DAY HEALTHCARE CENTERS, INC.

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	120ADC	NV

General Provider Information

NPI Number	:	1689732489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA ADULT DAY HEALTHCARE CENTERS, INC.

Provider Business Mailing Address
First Line	:	2008 S. JONES BLVD.
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3151
Country	:	US
Telephone Number	:	702-319-4600
Fax Number	:	702-319-4604

Provider Business Practice Location Address
First Line	:	2008 S. JONES BLVD.
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3151
Country	:	US
Telephone Number	:	702-319-4600
Fax Number	:	702-319-4604

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. CRISTINA V VITO
Credential	:	R.N.
Telephone Number	:	702-319-4600

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	08/22/2020

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