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Charleston Pediatric Snf LLC

Skilled Nursing Facility in Las Vegas, NV · enumerated 2021 · authorized official Daniel Mathis, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205504917

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Registry record

Entity type Organization (Type 2)
Legal business name Charleston Pediatric Snf LLC
Practice address 2496 W Charleston Blvd, Las Vegas, NV, 89102
Phone (702) 310-3720
Fax (702) 310-3722
Enumeration date Aug 30, 2021
Last updated in NPPES Feb 13, 2025

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Daniel Mathis
Title Ceo
Phone (702) 310-3720

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-02-13. Verify at npiregistry.cms.hhs.gov.
Where is Charleston Pediatric Snf LLC located?
The practice location on file with NPPES is in Las Vegas, NV.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-13.