1881568996 NPI number — L.E.G.S. TRANSITIONAL SERVICES

Table of content: STACEY MARIE CEDERLOF P.T. (NPI 1285975516)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881568996 NPI number — L.E.G.S. TRANSITIONAL SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
L.E.G.S. TRANSITIONAL SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881568996
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1050 E FLAMINGO RD STE 107
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89119-7429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-842-0542
Provider Business Mailing Address Fax Number:
702-819-0563

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6501 VEGAS BLVD UNIT 2088
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-842-0542
Provider Business Practice Location Address Fax Number:
702-819-0563
Provider Enumeration Date:
10/01/2025

Additional Information

Authorized Official

Authorized Official Last Name:
JOUBERT
Authorized Official First Name:
ERICA
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
CFO/HR DIRECTOR
Authorized Official Telephone Number:
725-268-8701

Provider Taxonomy Codes

  • Taxonomy code: 172V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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