SOUTHERN NEVADA CARE CENTER
NPI 1205563863
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Las Vegas, NV
About Southern Nevada Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN NEVADA CARE CENTER (NPI 1205563863), doing business as Southern Nevada Medical And Behavioral Group, is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Las Vegas, Nevada and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Marichu Pizan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 29D2345327
Southern Nevada Care Center · Las Vegas, NVOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southern Nevada Care Center's NPI number?
The NPI number for Southern Nevada Care Center is 1205563863. It was assigned to this organization in the NPPES registry on August 4, 2022. The provider is doing business as Southern Nevada Medical and Behavioral Group.
Where is Southern Nevada Care Center located?
Southern Nevada Care Center is located at 1330 Karen Ave Unit B, Las Vegas, NV 89169. The listed phone number is (702) 625-0022.
What is Southern Nevada Care Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.
Does Southern Nevada Care Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D2345327) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southern Nevada Care Center was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southern Nevada Care Center · NPI 1205563863
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since August 4, 2022.
## Identity
- **NPI:** 1205563863 (Entity type: Organization)
- **Enumerated:** August 4, 2022
- **Primary specialty:** Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) · taxonomy 261QR0401X
- **Also known as:** Southern Nevada Medical and Behavioral Group (Doing Business As)
- **Organization subpart:** Yes (part of Southern Nevada Care Center)
- **Authorized official:** Marichu Pizan, CEO
## Practice location
- **Address:** 1330 KAREN AVE UNIT B, Las Vegas, NV 89169-1260
- **Phone:** (702) 625-0022
## Record status
- **NPPES last updated:** August 4, 2022
- **Other identifiers:** Medicaid 1801485131 (NV)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205563863) · Data from the CMS NPPES public registry.