RECOVERY INSTITUTE OF NEVADA LLC (NPI# 1144708694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144708694 |
| Entity Type | Organization |
| Organization Name | RECOVERY INSTITUTE OF NEVADA LLC |
| Practice Address |
1771 E Flamingo Rd Ste 112b Las Vegas NV 89119-0851 |
| Practice Telephone | 7024059559 |
| Mailing Telephone | 7024059559 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-12-13 |
| Authorized Official Name | CHARLES SIMBULAN (OWNER) |
| Authorized Official Telephone | 7024059559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
1771 E FLAMINGO RD STE 112B |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-0851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790981090 | David M Kramer | Counselor | 1771 E Flamingo Rd Ste 112b, Las Vegas, NV 89119-0851 | 2007-06-23 |
| 1962670778 | Elizabeth Murdock James | Psychologist | 1771 E Flamingo Rd Ste 112b, Las Vegas, NV 89119-0851 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467099739 | Purpose Driven Recovery LLC | Clinic/Center | 2785 E Desert Inn Rd Ste 270, Las Vegas, NV 89121-3693 | 2019-12-05 |
| 1831756014 | Sanel Halilovic | Clinic/Center | 4701 Hansel Cir, Las Vegas, NV 89102-5796 | 2019-05-23 |
| 1861971210 | Las Vegas Addiction Treatment Center | Clinic/Center | 7391 W Charleston Blvd Ste 150, Las Vegas, NV 89117-1577 | 2018-08-07 |
| 1689170862 | Cycles of Change Recovery Services, LLC | Clinic/Center | 6069 S Fort Apache Rd Ste 130, Las Vegas, NV 89148-5579 | 2018-04-05 |
| 1417464397 | Therapy Today Recovery Center | Clinic/Center | 1230 W Owens Ave Ste 1, Las Vegas, NV 89106-2451 | 2018-01-02 |
| 1255880191 | Sierra Treatment and Recovery Services, LLC | Clinic/Center | 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 | 2016-10-03 |
| 1376997627 | Horizon Ridge Clinic LLC | Clinic/Center | 3160 W Sahara Ave Ste A11, Las Vegas, NV 89102-3215 | 2016-04-22 |
| 1164811121 | Aac Las Vegas Outpatient Center, LLC | Clinic/Center | 3441 S Eastern Ave, Las Vegas, NV 89169-3314 | 2015-01-14 |
| 1184061061 | Vitality Unlimited | Clinic/Center | 1550 Western Ave, Las Vegas, NV 89102-2614 | 2013-05-31 |
| 1649402520 | Center for Addiction Medicine LLC | Clinic/Center | 4445 S Jones Blvd Ste 3, Las Vegas, NV 89103-3373 | 2009-08-11 |
| 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.