CREATIVE COLLABORATION


Address: 8070 W Russell Rd, Apt 1065, Las Vegas, NV 89113-1549
Phone: 7026104153

CREATIVE COLLABORATION (NPI# 1003109802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003109802
Entity Type Organization
Organization Name CREATIVE COLLABORATION
Other Organization Name CC YOUTH EMPOWERMENT SERVICES
Practice Address 8070 W Russell Rd
Apt 1065
Las Vegas
NV 89113-1549
Practice Telephone 7026104153
Mailing Telephone 7026104153
Enumeration Date 2011-05-26
Last Update Date 2011-05-26
Authorized Official Name BONITO SAHAGUN (PRESIDENT)
Authorized Official Telephone 7026104153
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker Behavioral Health & Social Service Providers
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
CC Youth Empowerment Services Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities CREATIVE COLLABORATION CONSTRUCTION LLC 5486 E 19th St, Indianapolis, IN 46218
New York State Corporations CREATIVE COLLABORATIONS CONSULTING, LLC P O Box 3790, Albany, New York 12203
Washington State Corporations CREATIVE COLLABORATIONS LLC 2806 Ne 157th St, Vancouver, WA 98686
Colorado Business Entities Creative Collaborations, LLC 1728 Rose Ln, Brighton, CO 80601

Office Location

Street Address 8070 W RUSSELL RD
APT 1065
City LAS VEGAS
State NV
Zip Code 89113-1549

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497064588 Sabrina Daneen Deville Rehabilitation Practitioner 8070 W Russell Rd, 2007, Las Vegas, NV 89113-1549 2010-10-06
1598208357 Jason Bennett Rehabilitation Hospital 8070 W Russell Rd, 1092, Las Vegas, NV 89113-1549 2016-11-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457951121 Trang Thu Tran Pharmacist 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 2020-10-30
1457966293 Cory Alexander Stattelman Physical Medicine & Rehabilitation 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 2020-09-09
1477170801 Hailey Eileen Wilson Behavior Technician 5575 S Durango Dr #102, Las Vegas, NV 89113 2020-07-01
1295385078 Dominica Zaragoza Technician 711 S. Durango Dr, Las Vegas, NV 89113 2019-09-13
1831742758 Lyass PC A Professional Medical Corp Clinic/Center 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 2019-07-19
1932679529 Kiara Hayden Rehabilitation Practitioner 5509 Lonesome Biker Lane, Las Vegas, NV 89113 2018-11-27
1437631876 James Eugene Hightower Community Health Worker 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 2018-09-01
1356822282 Warda Ali Nurse Practitioner 8738 Pinley Spring St, Las Vegas, NV 89113 2018-08-28
1063992949 Endure Recovery Services LLC Counselor 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 2018-08-20
1134635097 Mivip Regional Surgery Center Clinic/Center 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 2017-12-14
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821698556 Therapy of Southern Nevada Community/Behavioral Health 4100 W Flamingo Rd Ste 1442, Las Vegas, NV 89103-3924 2020-10-30
1114527355 Nevada Behavioral Services Community/Behavioral Health 2880 E Flamingo Rd Ste G, Las Vegas, NV 89121-5223 2020-10-27
1295341733 P Saint Roc LLC Community/Behavioral Health 1700 Alta Dr Apt 2124, Las Vegas, NV 89106-4174 2020-09-21
1609482181 Kristie Leialoha Dias Community/Behavioral Health 9986 Catseye Cove Ct, Las Vegas, NV 89183-7203 2020-09-19
1326653551 Serene Behavioral Health LLC Community/Behavioral Health 5800 W Charleston Blvd Apt 2051, Las Vegas, NV 89146-1297 2020-09-14
1124630678 Robert Thomas Marbury IIi Community/Behavioral Health 501 S Rancho Dr Ste B10, Las Vegas, NV 89106-4830 2020-08-17
1124637335 Monica Petroff Community/Behavioral Health 3540 W Sahara Ave #e6, Las Vegas, NV 89102-9253 2020-07-24
1821607193 State of Nevada Community/Behavioral Health 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 2020-07-23
1023635273 Greatness Through Wellness Services Community/Behavioral Health 2350 S Jones Blvd Ste 206mon85, Las Vegas, NV 89146-3103 2020-07-02
1568088391 Bridgeway Family Services LLC Community/Behavioral Health 11186 Fort Bowie St, Las Vegas, NV 89179-1223 2020-06-17
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Competitor

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City LAS VEGAS
Zip Code 89113

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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