# THI OF NEVADA AT CARSON LLC

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

## Provider details

- **NPI number:** 1679784243
- **Authorized official:** ELMER RIECKHOFF (PRESIDENT)
- **Authorized official phone:** (772) 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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1175SNF14 | NV | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 08/22/2020