SPECTRUM HOUSE LLC (NPI# 1356907711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356907711 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HOUSE LLC |
| Practice Address |
6396 Mcleod Dr Ste 9 Las Vegas NV 89120-4429 |
| Practice Telephone | 7025239373 |
| Mailing Telephone | 7025239373 |
| Enumeration Date | 2019-05-11 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | MOHAMED A KAMARA (MANAGER) |
| Authorized Official Telephone | 7025239373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SIERRA GROUP HOMES | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6396 Mcleod Dr Ste 9, Las Vegas, NV 891204429 | 7024870920 |
| Street Address |
6396 MCLEOD DR STE 9 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89120-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588070445 | Michelle Lee Aguilera | Social Worker | 6396 Mcleod Dr Ste 9, Las Vegas, NV 89120-4429 | 2014-07-10 |
| 1639661549 | Mohamed Alhaji Kamara | Registered Nurse | 6396 Mcleod Dr Ste 9, Las Vegas, NV 89120-4429 | 2018-06-06 |
| 1619473949 | Easy Access Clinic LLC | Counselor | 6396 Mcleod Dr Ste 9, Las Vegas, NV 89120-4429 | 2018-04-04 |
| 1528447943 | Geena Ann Marano | Social Worker | 6396 Mcleod Dr Ste 9, Las Vegas, NV 89120 | 2015-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850144 | Mental Edge Therapy Professional LLC | Psychologist | 2520 St. Rose Parkway, Suite 220-a (219), Las Vegas, NV 89120 | 2020-10-30 |
| 1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
| 1225656804 | Michael Y Chang Md PC | Anesthesiology | 2700 Sunset Rd B18, Las Vegas, NV 89120 | 2020-07-09 |
| 1053962142 | Arlene M Mcmillen | Technician | 3321 Casey Drive, Apt 104 Bldg 15, Las Vegas, NV 89120 | 2019-09-20 |
| 1942858634 | Michael A Fortunato Md Pllc | Anesthesiology | Michael A Fortunato, Md Pllc, 2700 Sunset Rd #b18, Las Vegas, NV 89120 | 2019-08-27 |
| 1023664521 | Christine White | Behavior Technician | 8431 Sunset Road, Suite 110, Henderson, NV 89120 | 2019-08-12 |
| 1922653435 | David Stefon Mayo | Technician | 3960 E. Patrick Lane, Suite 202., Las Vegas, NV 89120 | 2019-08-02 |
| 1346893724 | Joseph Acuna | Technician | 3960 E. Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-24 |
| 1588217582 | Va Natasha Manutai | Technician | 3980 E Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-18 |
| 1811557788 | Fidencia Gutierrez | Chore Provider | 2690 Chandler Ave. Ste. 1, Ste. 1, Las Vegas, NV 89120 | 2019-06-13 |
| Find all providers in zip 89120 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1164061818 | Therapy Sense Pllc | Clinic/Center | 9402 W Lake Mead Blvd Ofc 104, Las Vegas, NV 89134-8312 | 2019-12-28 |
| 1932748779 | Mindworks Mental Health Clinic | Clinic/Center | 3830 Timberlake Dr., Las Vegas, NV 89115 | 2019-12-26 |
| 1205479813 | Core Strength LLC | Clinic/Center | 186 Woolman Rink Ave, Las Vegas, NV 89123-7443 | 2019-10-26 |
| 1164987871 | Brenda Primero Np LLC | Clinic/Center | 8125 Nottingham Hill Ln, Las Vegas, NV 89113-1888 | 2019-02-06 |
| 1699281915 | Desert Wellness Center | Clinic/Center | 3341 Ascona Ct, Las Vegas, NV 89129-6190 | 2017-12-22 |
| 1821537242 | Nicole R Vaughn Changing Minds | Clinic/Center | 911 N Buffalo Dr Unit 206, Las Vegas, NV 89128-0381 | 2017-02-17 |
| 1376090910 | Renaissance Ranch Outpatient, LLC | Clinic/Center | 3037 E Warm Springs Rd, Suite 400, Las Vegas, NV 89120-3758 | 2016-09-01 |
| 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.