Organization
EMERITUS PROPERTIES NGH, LLC
Active
Other names
Brookdale Las Vegas
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
3025 EAST RUSSELL ROAD, LAS VEGAS, NV 89120
(702) 451-7896
(702) 450-2252
Mailing address
6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1774AGC-19
NV
310400000X
Assisted Living Facility
1774AGC-21
NV
310400000X
Assisted Living Facility
Primary
1774AGC-38
NV
311500000X
Alzheimer Center (Dementia Center)
1774AGC-19
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502792
—
NV
05
—
API9005040512
—
NV
Enumeration date
05/01/2007
Last updated
06/13/2016
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