MEDICARE: SILVER SKY ASSISTED LIVING LP

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1881380665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER SKY ASSISTED LIVING LP

Provider Business Mailing Address
First Line	:	295 E WARM SPRINGS RD STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4212
Country	:	US
Telephone Number	:	702-410-2720
Fax Number	:

Provider Business Practice Location Address
First Line	:	8220 SILVER SKY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-5608
Country	:	US
Telephone Number	:	702-410-2778
Fax Number	:	702-462-7735

Authorized Official
Title or Position	:	VP ASSISTED LIVING
Name	:	MR. ROBERT A COLBERT
Credential	:	RN
Telephone Number	:	702-410-2778

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	04/13/2023

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