Organization
COVENANT CARE VEGAS, INC.
Active
Other names
Silver Ridge Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
1151 S TORREY PINES DR, LAS VEGAS, NV 89146-9051
(702) 938-8333
(702) 938-7149
Mailing address
1151 S TORREY PINES DR, LAS VEGAS, NV 89146-9051
(702) 938-8333
(702) 938-7149
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2340SNF-10
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001902151
—
NV
Enumeration date
02/08/2007
Last updated
11/01/2013
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