Provider Demographics
NPI:1366520884
Name:TRANSITIONAL HOSPITALS CORPORATION OF NEVADA LLC
Entity type:Organization
Organization Name:TRANSITIONAL HOSPITALS CORPORATION OF NEVADA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, CORPORATE SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:629-253-5121
Mailing Address - Street 1:5110 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3406
Mailing Address - Country:US
Mailing Address - Phone:702-871-1418
Mailing Address - Fax:702-871-4713
Practice Address - Street 1:5110 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:702-871-1418
Practice Address - Fax:702-871-4713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV664HOS-18282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV292002OtherBLUE CROSS
NV5602007Medicaid
NV=========OtherCIGNA
NV=========OtherHUMANA
NV292002OtherBLUE CROSS
NV5602007Medicaid
NV=========OtherSECURE HORIZONS
NV=========OtherTRICARE/CHAMPUS
NV=========OtherUNITED HEALTHCARE
NV=========OtherGREAT WEST
NV292002OtherBLUE CROSS