KW LEGACY RANCH, LLC (NPI# 1063827749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063827749 |
| Entity Type | Organization |
| Organization Name | KW LEGACY RANCH, LLC |
| Practice Address |
1760 Sr 318 Hiko NV 89017-2215 |
| Mailing Address |
Hc 61 Box 87 Hiko NV 89017-9635 |
| Practice Telephone | 7757253900 |
| Mailing Telephone | 7757253900 |
| Mailing Fax Number | 7757253925 |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2014-06-21 |
| Authorized Official Name | LUKE HATCH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7757253900 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | NV | Residential Treatment Facilities |
| Street Address |
1760 SR 318 |
| City | HIKO |
| State | NV |
| Zip Code | 89017-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174075550 | Luke Hatch | Social Worker | 1760 State Route 318, Hiko, NV 89017-2215 | 2016-11-01 |
| 1275594681 | Nevada Dental Professional, Quirt, Gates, PC | Dentist | 1701 N. Green Valley Parkway, Suite 7a, Henderson, NV 89017-5989 | 2006-03-28 |
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424829 | Eden Treatment, LLC | Psychiatric Residential Treatment Facility | 7390 Edna Ave, Las Vegas, NV 89117-2902 | 2020-10-14 |
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1043879083 | Eden Treatment, LLC | Psychiatric Residential Treatment Facility | 3636 Dutch Valley Dr, Las Vegas, NV 89147-6806 | 2019-06-12 |
| 1164903613 | Crc Ed Treatment LLC | Psychiatric Residential Treatment Facility | 2501 Holcomb Ranch Ln, Reno, NV 89511-9558 | 2018-08-23 |
| 1306338215 | Douglas Co and Unincorporated Towns | Psychiatric Residential Treatment Facility | 225 China Spring Rd, Gardnerville, NV 89410 | 2018-06-06 |
| 1871029082 | New Benchmark | Psychiatric Residential Treatment Facility | 1472 W Hwy 373, Amargosa Valley, NV 89020 | 2017-05-08 |
| 1174989578 | Aisha Marpa Santos | Psychiatric Residential Treatment Facility | 1219 Starstone Ct, Henderson, NV 89014-7899 | 2016-01-14 |
| 1962557975 | Crc Ed Treatment, Inc | Psychiatric Residential Treatment Facility | 1500 Pass Dr, Reno, NV 89509 | 2007-01-23 |
| 1811953003 | State of Nevada | Psychiatric Residential Treatment Facility | 6171 W Charleston Blvd, Bldg. #17, Las Vegas, NV 89146-1126 | 2006-04-25 |
| 1255306270 | Uhs of Spring Mountain Inc | Psychiatric Residential Treatment Facility | 7000 Spring Mountain Rd, Las Vegas, NV 89117 | 2006-02-22 |
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| 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.