Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charleston Pediatric SNF LLC

Organization Skilled Nursing Facility · NPI 1205504917

Charleston Pediatric SNF LLC is a Skilled Nursing Facility in Las Vegas, Nevada. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2496 W Charleston Blvd
Las Vegas, NV 89102-2179
Phone: (702) 310-3720
Fax: (702) 310-3722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1205504917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Mathis — Ceo · (702) 310-3720
NPI enumeratedAugust 30, 2021
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address2496 W Charleston Blvd, Las Vegas, NV 89102-2179

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