CR LIVING, LLC (NPI# 1093202830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093202830 |
Entity Type | Organization |
Organization Name | CR LIVING, LLC |
Other Organization Name | SIERRA SAGE RECOVERY SERVICES |
Practice Address |
3321 N Buffalo Drive Suite 200 Las Vegas NV 89129 |
Practice Telephone | 7028685800 |
Practice Fax Number | 7023313098 |
Mailing Telephone | 7028685800 |
Mailing Fax Number | 7023313098 |
Enumeration Date | 2018-04-17 |
Last Update Date | 2019-02-14 |
Authorized Official Name | KRISTINE GATSKI (ADMINISTRATOR) |
Authorized Official Telephone | 7028685800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Sierra Sage Recovery Services | Doing Business As Name - Organization |
Street Address |
3321 N BUFFALO DRIVE SUITE 200 |
City | LAS VEGAS |
State | NV |
Zip Code | 89129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477660603 | Melvin Irwin Pohl | Family Medicine | 3321 N Buffalo Drive, Suite 125, Las Vegas, NV 89129 | 2006-08-24 |
1285286013 | Danielle Allen | Counselor | 3321 N Buffalo Drive, Ste 100, Las Vegas, NV 89129 | 2019-07-11 |
1083194781 | Paul Michael Hinshaw | Counselor | 3321 N Buffalo Drive, Suite 125, Las Vegas, NV 89129 | 2018-08-21 |
1568949790 | Gail A. Papandrea | Counselor | 3321 N Buffalo Drive, Suite 125, Las Vegas, NV 89129 | 2018-07-20 |
1912484288 | Laura Plowman | Counselor | 3321 N Buffalo Drive, Suite 125, Las Vegas, NV 89129 | 2018-07-19 |
1639656960 | Felipe De Leon Payumo | Counselor | 3321 N Buffalo Drive, Suite 200, Las Vegas, NV 89129 | 2018-07-19 |
1801306238 | Stefaine Maplethorpe | Counselor | 3321 N Buffalo Drive, Suite 125, Las Vegas, NV 89129 | 2017-10-12 |
1346641776 | Evan Kennedy Sargent | Counselor | 3321 N Buffalo Drive, Las Vegas, NV 89129 | 2014-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699387621 | Voice Specialist LLC | Speech-Language Pathologist | 3701 Paul Deweert Ct, Las Vegas, NV 89129 | 2020-08-20 |
1215563358 | Aba Homecare LLC | In Home Supportive Care | 4456 N Prospect Hill Ct, Las Vegas, NV 89129 | 2020-03-20 |
1568935534 | Las Vegas Family Medicine Inc. | Family Medicine | 7660 W. Cheyenne Ave Suite 110, Las Vegas, NV 89129 | 2019-01-02 |
1477040798 | Cynthia Beverly Springer | Technician | 8670 West Cheyenne Suite 135, Las Vegas, NV 89129 | 2018-04-23 |
1518471093 | 3 Pharmacy LLC | Pharmacy | 3350 Novat St Ste 110, Las Vegas, NV 89129 | 2017-11-20 |
1497207393 | Morgan A Lavergne | Behavioral Analyst | 7650 Siesta Grande Ave., Las Vegas, NV 89129 | 2016-10-27 |
1255880191 | Sierra Treatment and Recovery Services, LLC | Clinic/Center | 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 | 2016-10-03 |
1710433545 | Tyson Miller | Dentist | 3600 N Buffalo Dr., #110, Las Vegas, NV 89129 | 2016-08-31 |
1427450923 | Jerale Tiffith | Behavioral Analyst | 3800 Dalecrest Dr., 2801, Las Vegas, NV 89129 | 2014-09-16 |
1134463821 | Paul Carr | Behavioral Analyst | 4460 Park Ave, Las Vegas, NV 89129 | 2012-11-19 |
Find all providers in zip 89129 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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 |
Find all providers in LAS VEGAS |
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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.