# THI OF NEVADA AT CHEYENNE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** College Park Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417044694
- **Authorized official:** JONATHAN RAMEY (PRESIDENT)
- **Authorized official phone:** (702) 644-3269

## Contact information

- **Practice address:** 2856 E CHEYENNE AVE, NORTH LAS VEGAS, NV 89030-4234
- **Practice address phone:** (702) 644-3269
- **Practice address fax:** (702) 644-2404
- **Mailing address:** 920 RIDGEBROOK RD, SPARKS, MD 21152-9390
- **Mailing address phone:** (410) 773-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2006
- **Last updated:** 10/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001902230 | — | NV |