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NV ST DV MH DS SO NV MR SVCS NPI 1760544969


NPI Information

NPI: 1760544969
Provider Name: NV ST DV MH DS SO NV MR SVCS

Other Name: DESERT REGIONAL CENTER

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 29D2105695

Address:
1391 S JONES BLVD
LAS VEGAS, NV
ZIP 89146
Phone: (702) 486-6200
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NV ST DV MH DS SO NV MR SVCS is a residential treatment facility, intellectual and/or developmental disabilities in Las Vegas, NV. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. NV ST DV MH DS SO NV MR SVCS NPI is 1760544969. The provider is registered as an organization entity type.
The provider Other Name Is Desert Regional Center.

The provider's business location address is:

1391 S JONES BLVD
LAS VEGAS, NV
ZIP 89146-200
Phone: (702) 486-6200
Fax: (702) 486-6368

The provider's authorized official is Michelle L. Ashcraft .
The authorized official title is Admin Service Officer Iii and has the following contact phone number (775) 687-0511.

The CLIA number assigned to this NPI record is 29D2105695 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 2/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities698IMR-16NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1005402091MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.