Provider Demographics
NPI:1336334002
Name:LAS VEGAS HEALTH SYSTEM, LLC
Entity Type:Organization
Organization Name:LAS VEGAS HEALTH SYSTEM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSHAKUNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-258-3060
Mailing Address - Street 1:4465 S. BUFFALO BLVD.
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6231
Mailing Address - Country:US
Mailing Address - Phone:702-258-3060
Mailing Address - Fax:702-258-3031
Practice Address - Street 1:2810 W CHARLESTON BLVD STE F55
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1921
Practice Address - Country:US
Practice Address - Phone:702-259-0036
Practice Address - Fax:702-259-0069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVH1400213H136303251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health