Organization
CENTENNIAL LV LLC
Active
Other names
Centennial Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
8775 W DEER SPRINGS WAY, LAS VEGAS, NV 89149-0416
(702) 395-2488
(702) 645-5007
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639350804
—
NV
Enumeration date
11/16/2007
Last updated
12/29/2025
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