Provider Demographics
NPI:1760865745
Name:PREMIER HEALTH AND REHABILITATION CENTER OF LAS VEGAS, LP
Entity Type:Organization
Organization Name:PREMIER HEALTH AND REHABILITATION CENTER OF LAS VEGAS, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:RECHNITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-330-6572
Mailing Address - Street 1:5900 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-5013
Mailing Address - Country:US
Mailing Address - Phone:323-330-6572
Mailing Address - Fax:866-603-3566
Practice Address - Street 1:2945 CASA VEGAS ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-2248
Practice Address - Country:US
Practice Address - Phone:702-735-7179
Practice Address - Fax:702-699-8575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-08
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV295021Medicare Oscar/Certification