Provider Demographics
NPI:1225671290
Name:NADHC AT THE ACSC, INC.
Entity Type:Organization
Organization Name:NADHC AT THE ACSC, INC.
Other - Org Name:NEVADA ADULT DAY HEALTHCARE CENTERS AT THE ARTURO CAMBEI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:V
Authorized Official - Last Name:VITO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-319-4600
Mailing Address - Street 1:2008 S JONES BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3151
Mailing Address - Country:US
Mailing Address - Phone:702-319-4600
Mailing Address - Fax:702-319-4604
Practice Address - Street 1:330 N. 13TH STREET
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101
Practice Address - Country:US
Practice Address - Phone:702-384-3746
Practice Address - Fax:702-366-0498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1053646844Medicaid