LAS VEGAS RECOVERY HOSPITAL LLC
NPI 1245179845
Family Medicine - Addiction Medicine in Henderson, NV

Active since March 27, 2026CLIA 29D2335662 · Waiver
102 E LAKE MEAD PKWY, HENDERSON, NV 89015(702) 941-4673 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Las Vegas Recovery Hospital Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAS VEGAS RECOVERY HOSPITAL LLC (NPI 1245179845) is a healthcare organization registered as an addiction medicine in Henderson, Nevada and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through December 14, 2027 and lists Ben Levin, President, as its authorized official.

NPPES Registry Identity

NPI1245179845
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameLAS VEGAS RECOVERY HOSPITAL LLC
Location Address102 E LAKE MEAD PKWYHenderson, NV 89015-5575
Mailing Address850 Towbin AveLakewood, NJ 08701-5928
Organization SubpartYes
Authorized OfficialBen LevinPresident · (732) 714-5551
Enumeration DateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1245179845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
102 E LAKE MEAD PKWY, Henderson, NV 89015

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Las Vegas Recovery Hospital Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Las Vegas Recovery Hospital LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1093097735
2855 S BRONCO ST
Las Vegas, NV 89146
(888) 499-9273
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 29D2335662

Las Vegas Recovery Hospital · Henderson, NV
Active · expires Dec 14, 2027
CLIA Number29D2335662
Laboratory TypeHospital
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorBrian Kaszuba
Laboratory Phone(848) 245-3182
Laboratory LocationLas Vegas Recovery Hospital102 E Lake Mead Pkwy, 4th Floor, Henderson, NV 89015
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Las Vegas Recovery Hospital LLC's NPI number?

The NPI number for Las Vegas Recovery Hospital LLC is 1245179845. It was assigned to this organization in the NPPES registry on March 27, 2026.

Where is Las Vegas Recovery Hospital LLC located?

Las Vegas Recovery Hospital LLC is located at 102 E Lake Mead Pkwy, Henderson, NV 89015. The listed phone number is (702) 941-4673.

What is Las Vegas Recovery Hospital LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Las Vegas Recovery Hospital LLC enrolled in Medicare?

Yes. Las Vegas Recovery Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Las Vegas Recovery Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Las Vegas Recovery Hospital LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Las Vegas Recovery Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2335662) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Las Vegas Recovery Hospital LLC was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.