Centennial Dialysis Center

LBN: Centennial Lv Llc
Centennial Dialysis Center is an health care organization with primary practice located at 8775 W Deer Springs Way , Las Vegas NV 89149-0416. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Centennial Lv Llc can be contacted via phone (702) 395-2488, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
8775 W Deer Springs Way Las Vegas NV 89149-0416
Phone: (702) 395-2488
Fax: (702) 645-5007
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T AO
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1639350804
LBN Legal business name Centennial Lv Llc
DBA Doing business as Centennial Dialysis Center
Authorized official Wey, Samuel T AO
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated May 9th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639350804 NPPES
Nevada MEDICAID 1639350804

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