1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Clinic Center
  6. NPI Profile

LIFECARE PARTNERS
NPI 1346113859
Clinic/Center - Federally Qualified Health Center (FQHC) in Las Vegas, NV

Active since September 29, 2025CLIA 29D2333573 · Waiver
4416 E BONANZA RD UNIT 120B, LAS VEGAS, NV 89110(702) 350-1204 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lifecare Partners NPPES

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

LIFECARE PARTNERS (NPI 1346113859) is a healthcare organization registered as a federally qualified health center (fqhc) in Las Vegas, Nevada and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through November 5, 2027 and lists Jami Nicole Dybik, Authorizing Official, as its authorized official.

NPPES Registry Identity

NPI1346113859
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLIFECARE PARTNERS
Location Address4416 E BONANZA RD UNIT 120BLas Vegas, NV 89110-6349
Mailing Address4416 E Bonanza Rd Unit 120bLas Vegas, NV 89110-6349 · (702) 350-1204
Phone(702) 350-1204
Organization SubpartNo
Authorized OfficialJami Nicole DybikAuthorizing Official · (843) 814-5177
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1346113859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4416 E BONANZA RD UNIT 120B, Las Vegas, NV 89110
Open in Google Maps ↗

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 29D2333573

Lifecare Partners · Henderson, NV
Active · expires Nov 5, 2027
CLIA Number29D2333573
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorGaurav Jain
Laboratory Phone(702) 350-1204
Laboratory LocationLifecare Partners105 N Pecos Road Suite 111, Henderson, NV 89074
CLIA data matches this NPI record on: 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 Lifecare Partners's NPI number?

The NPI number for Lifecare Partners is 1346113859. It was assigned to this organization in the NPPES registry on September 29, 2025.

Where is Lifecare Partners located?

Lifecare Partners is located at 4416 E Bonanza Rd Unit 120B, Las Vegas, NV 89110. The listed phone number is (702) 350-1204.

What is Lifecare Partners's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Lifecare Partners hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2333573) is associated with this NPI, valid through November 5, 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 Lifecare Partners was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.