CAESARS LAKE TAHOE HEALTH & WELLNESS CENTER
NPI 1306333604
Non-Pharmacy Dispensing Site in Stateline, NV

Q: What is Premise Health Of Nevada Medical Hinitt P C's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since April 23, 2018CLIA 29D1050891 · Waiver

15 HIGHWAY 50, STATELINE, NV 89449(775) 586-5000(775) 586-5055 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2019, Apr 23, 2018 (2 updates tracked since 2018).

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About Caesars Lake Tahoe Health & Wellness Center NPPES

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

CAESARS LAKE TAHOE HEALTH & WELLNESS CENTER (NPI 1306333604) is a healthcare organization registered as a non-pharmacy dispensing site in Stateline, Nevada and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Steven A Hinitt, President, as its authorized official.

NPPES Registry Identity

NPI1306333604

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NamePREMISE HEALTH OF NEVADA MEDICAL HINITT P C

Location Address15 HIGHWAY 50Stateline, NV 89449

Mailing Address5500 Maryland Way Ste 400Brentwood, TN 37027-7048

Phone(775) 586-5000

Fax(775) 586-5055

Organization SubpartNo

Authorized OfficialSteven A HinittPresident · (615) 468-6248

Enumeration DateApril 23, 2018

Last NPPES UpdateApril 1, 20192 updates tracked since enumeration

✔ NPI 1306333604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in NV · PD00694

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

15 HIGHWAY 50, Stateline, NV 89449

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Other Names 1

Doing Business AsCaesars Lake Tahoe Health & Wellness Center

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 29D1050891

Caesars Lake Tahoe Health & Wellness Center · Stateline, NV

Active · expires Feb 13, 2028

CLIA Number29D1050891

Laboratory TypePhysician Office

Certificate Effective DateFebruary 14, 2026

Certificate Expiration DateFebruary 13, 2028

Laboratory DirectorYoung Keum

Laboratory Phone(775) 586-5000

Laboratory LocationCaesars Lake Tahoe Health & Wellness Center15 Hwy 50, Stateline, NV 89449

CLIA data matches this NPI record on: Address Name Phone

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 Premise Health Of Nevada Medical Hinitt P C's NPI number?

The NPI number for Premise Health Of Nevada Medical Hinitt P C is 1306333604. It was assigned to this organization in the NPPES registry on April 23, 2018. The provider is doing business as Caesars Lake Tahoe Health & Wellness Center.

Where is Premise Health Of Nevada Medical Hinitt P C located?

Premise Health Of Nevada Medical Hinitt P C is located at 15 Highway 50, Stateline, NV 89449. The listed phone number is (775) 586-5000.

What is Premise Health Of Nevada Medical Hinitt P C's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Premise Health Of Nevada Medical Hinitt P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D1050891) is associated with this NPI, valid through February 13, 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 Premise Health Of Nevada Medical Hinitt P C was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.