Provider Demographics
NPI:1588224364
Name:DEER SPRINGS ASSISTED LIVING LP
Entity Type:Organization
Organization Name:DEER SPRINGS 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:
Authorized Official - Phone:702-501-3668
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:702-393-3057
Practice Address - Street 1:6741 N DECATUR BLVD BLDG 3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-2721
Practice Address - Country:US
Practice Address - Phone:702-462-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility