SOUTHERN NEVADA CARE CENTER
NPI 1205563863
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Las Vegas, NV

Active since August 04, 2022CLIA 29D2345327 · Waiver
1330 KAREN AVE UNIT B, LAS VEGAS, NV 89169(702) 625-0022 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1205563863
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameSOUTHERN NEVADA CARE CENTER
Location Address1330 KAREN AVE UNIT BLas Vegas, NV 89169-1260
Mailing Address1330 Karen Ave Unit BLas Vegas, NV 89169-1260 · (702) 625-0022
Organization SubpartYes
Authorized OfficialMarichu PizanCeo · (702) 800-5393
Enumeration DateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
NPI 1205563863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code261QR0401X
1330 KAREN AVE UNIT B, Las Vegas, NV 89169

Other Names 1

Doing Business AsSouthern Nevada Medical And Behavioral Group

Other Identifiers 1

Medicaid1801485131NV

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, NV
Active · expires Jun 7, 2028
CLIA Number29D2345327
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorMarichu Pizan
Laboratory Phone(702) 625-0022
Laboratory LocationSouthern Nevada Care Center8879 W Flamingo Rd Suite 202, Las Vegas, NV 89147
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
1330 KAREN AVE UNIT B
LAS VEGAS, NV 89169
Clinic/Center (Adult Day Care)
1330 KAREN AVE UNIT B
LAS VEGAS, NV 89169

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205563863, enumerated as an "organization" on August 04, 2022.

The provider is located at 1330 KAREN AVE UNIT B LAS VEGAS, NV 89169 and the phone number is (702) 625-0022.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.