OrganizationActive
Centennial Lv LLC
NPI 1639350804 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1639350804
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp, Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
8775 W Deer Springs Way
Las Vegas, NV 89149-0416
Phone: (702) 395-2488
Fax: (702) 645-5007
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Centennial Dialysis Center
- Doing business as
- Centennial Dialysis Center
Registry dates
- Enumerated
- 2007-11-16
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.