Provider Demographics
NPI:1790243905
Name:RCI FACILITIES, LLC
Entity Type:Organization
Organization Name:RCI FACILITIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROCK
Authorized Official - Suffix:
Authorized Official - Credentials:RFA
Authorized Official - Phone:702-858-4559
Mailing Address - Street 1:6085 S LAMB BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-2315
Mailing Address - Country:US
Mailing Address - Phone:702-724-0218
Mailing Address - Fax:702-478-6477
Practice Address - Street 1:6085 S LAMB BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-2315
Practice Address - Country:US
Practice Address - Phone:702-724-0218
Practice Address - Fax:702-478-6477
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RCI FACILITIES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-06
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2001662-062-101OtherCLARCK COUNTY BUSINESS LICENSE