PROVIDENCE HEALTHCARE OF NEVADA LLC
NPI 1750817441
Home Health in Las Vegas, NV

Active since May 02, 2017
5510 S FORT APACHE RD, STE 18, LAS VEGAS, NV 89148(702) 680-0235(702) 680-0236 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Healthcare Of Nevada Llc NPPES

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

PROVIDENCE HEALTHCARE OF NEVADA LLC (NPI 1750817441) is a healthcare organization registered as a home health in Las Vegas, Nevada and active in the NPI registry since May 2017. The organization lists Gerard M Tabora, Administrator, as its authorized official.

NPPES Registry Identity

NPI1750817441
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePROVIDENCE HEALTHCARE OF NEVADA LLC
Location Address5510 S FORT APACHE RD, STE 18Las Vegas, NV 89148-7700
Mailing Address5510 S Fort Apache Rd, Ste 18Las Vegas, NV 89148-7700 · (702) 680-0235 · Fax (702) 680-0236
Fax(702) 680-0236
Organization SubpartNo
Authorized OfficialGerard M TaboraAdministrator · (702) 680-0235
Enumeration DateMay 2, 2017
NPI 1750817441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
5510 S FORT APACHE RD, Las Vegas, NV 89148

Other Identifiers 1

OtherNV20171115640NV · Nevada Secretary Of State

Other Providers at the Same Location NPPES 10

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

Family Medicine
5510 S FORT APACHE RD
LAS VEGAS, NV 89148
Social Worker (Clinical)
5510 S FORT APACHE RD
LAS VEGAS, NV 89148
Nurse Practitioner (Pediatrics)
5510 S FORT APACHE RD
LAS VEGAS, NV 89148
Nurse Practitioner (Psychiatric/Mental Health)
5510 S FORT APACHE RD
LAS VEGAS, NV 89148
Counselor (Mental Health)
5510 S FORT APACHE RD
LAS VEGAS, NV 89148
Clinic/Center (Mental Health (Including Community Mental Health Center))
5510 S FORT APACHE RD
LAS VEGAS, NV 89148
Nurse Practitioner (Family)
5510 S FORT APACHE RD
LAS VEGAS, NV 89148
Counselor (Professional)
5510 S FORT APACHE RD
LAS VEGAS, NV 89148

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 Providence Healthcare Of Nevada LLC's NPI number?

The NPI number for Providence Healthcare Of Nevada LLC is 1750817441. It was assigned to this organization in the NPPES registry on May 2, 2017.

Where is Providence Healthcare Of Nevada LLC located?

Providence Healthcare Of Nevada LLC is located at 5510 S Fort Apache Rd Ste 18, Las Vegas, NV 89148. The listed phone number is (702) 680-0235.

What is Providence Healthcare Of Nevada LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Providence Healthcare Of Nevada LLC was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.