TRELLIS CENTENNIAL – NPI #1932664158
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

TRELLIS CENTENNIAL is a skilled nursing facility (SNF) located in LAS VEGAS, NV. NPPES has assigned the NPI number 1932664158 to TRELLIS CENTENNIAL on February 01, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TRELLIS CENTENNIAL” is a dba name, the actual legal business name for this organization is LYCHEE HOLDINGS, LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was last updated on Aug 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRELLIS CENTENNIAL below.

NPI Profile for
LYCHEE HOLDINGS, LLC

NPI Number
1932664158
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LYCHEE HOLDINGS, LLC
Doing Business As (dba): TRELLIS CENTENNIAL
Primary location
8565 W ROME BLVD
LAS VEGAS, NV 89149
Phone: (702) 982-8555 Fax:
Mailing address
262 N UNIVERSITY AVE
FARMINGTON, UT 84025-2975
Phone: Fax:
Organization Subpart
No
Authorized Official
JOHN MITCHELL
SECRETARY
Phone: (385) 988-3319
Updated
Certification Date
Aug 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.