OrganizationActive
Grace Rehab Center Corp
NPI 1629601612 · Community/Behavioral Health Agency · Las Vegas, NV
Grace Rehab Center Corp is a Community/Behavioral Health Agency organization in Las Vegas, NV (NPI 1629601612).
Provider details
- NPI number
- 1629601612
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tatiana Johnson, President(831) 419-1117
Specialties & taxonomies
Agencies
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9599 W Charleston Blvd
Las Vegas, NV 89117-6654
Phone: (831) 419-1117
Street-level locationGet directions
Mailing address
9599 W Charleston Blvd Apt 2048
Las Vegas, NV 89117-6663
Other names (DBA / former)
- Former legal business name
- Grace Rehab Center Corp
Registry dates
- Enumerated
- 2020-02-18
- Last updated
- 2020-02-18
- Certified
- 2020-02-18
Frequently asked questions
- What is Grace Rehab Center Corp's NPI number?
- Grace Rehab Center Corp's National Provider Identifier (NPI) is 1629601612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grace Rehab Center Corp?
- Grace Rehab Center Corp is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Grace Rehab Center Corp located?
- Grace Rehab Center Corp's practice location on file with NPPES is 9599 W Charleston Blvd, Las Vegas, NV 89117-6654.
- What is Grace Rehab Center Corp's phone number?
- The practice phone number listed in the NPPES registry for Grace Rehab Center Corp is (831) 419-1117.
- Who is the authorized official for Grace Rehab Center Corp?
- The authorized official listed on Grace Rehab Center Corp's NPPES record is Tatiana Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grace Rehab Center Corp's NPI active?
- Yes — Grace Rehab Center Corp's NPI (1629601612) is active in the NPPES registry as of the last update on 2020-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.