Provider Demographics
NPI:1922821859
Name:TAPD MEDICAL AND TREE HOUSE ASSISTED LIVING
Entity type:Organization
Organization Name:TAPD MEDICAL AND TREE HOUSE ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-C
Authorized Official - Phone:702-826-6760
Mailing Address - Street 1:42 FALLEN TREE CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-6299
Mailing Address - Country:US
Mailing Address - Phone:702-826-6760
Mailing Address - Fax:
Practice Address - Street 1:42 FALLEN TREE CT
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-6299
Practice Address - Country:US
Practice Address - Phone:702-826-6760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAPD MEDICAL AND TREE HOUSE ASSISTED LIVING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility