Provider Demographics
NPI:1912169251
Name:NEVADA SENIOR SERVICES INC
Entity Type:Organization
Organization Name:NEVADA SENIOR SERVICES INC
Other - Org Name:ADULT DAY CARE CENTER OF LAS VEGAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:FACHE
Authorized Official - Phone:702-648-3425
Mailing Address - Street 1:901 N JONES BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-1603
Mailing Address - Country:US
Mailing Address - Phone:702-648-3425
Mailing Address - Fax:702-648-1408
Practice Address - Street 1:901 N JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-1603
Practice Address - Country:US
Practice Address - Phone:702-648-3425
Practice Address - Fax:702-648-1408
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEVADA SENIOR SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV33ADC17385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1740477199Medicaid