# THI OF NEVADA AT CARSON LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Carson Convalescent Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578500302
- **Authorized official:** ELMER B RIECKHOFF (PRESIDENT)
- **Authorized official phone:** (775) 882-3301

## Contact information

- **Practice address:** 2898 US HIGHWAY 50 E, CARSON CITY, NV 89701-2811
- **Practice address phone:** (775) 882-3301
- **Mailing address:** 930 RIDGEBROOK RD, SPARKS, MD 21152-9390
- **Mailing address phone:** (410) 773-1000
- **Mailing address fax:** (410) 773-1321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1175SNF-12 | NV | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 09/04/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 19-13842 | — | NV |