Provider Demographics
NPI:1497441281
Name:SILVER SKY ASSISTED LIVING LP
Entity Type:Organization
Organization Name:SILVER SKY ASSISTED LIVING LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP ASSISTED LIVING
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLBERT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-410-2778
Mailing Address - Street 1:295 E WARM SPRINGS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4212
Mailing Address - Country:US
Mailing Address - Phone:702-410-2720
Mailing Address - Fax:
Practice Address - Street 1:8220 SILVER SKY DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-5608
Practice Address - Country:US
Practice Address - Phone:702-410-2720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility