BROOKS FAMILY CLINIC (NPI# 1407368814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407368814 |
| Entity Type | Organization |
| Organization Name | BROOKS FAMILY CLINIC |
| Other Organization Name | BROOKS METHADONE |
| Practice Address |
3550 W Cheyenne Ave Suite 100 North Las Vegas NV 89032-8212 |
| Mailing Address |
3670 N Rancho Drive Suite 106 Las Vegas NV 89130-3174 |
| Practice Telephone | 7025705200 |
| Practice Fax Number | 7025705201 |
| Mailing Telephone | 7025705200 |
| Mailing Fax Number | 7024735223 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | MR. DEVIN BROOKS (OWNER/CEO) |
| Authorized Official Telephone | 7029105773 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROOKS FAMILY CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Brooks Methadone | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881106987 | Brooks Family Clinic | Clinic/Center | 3550 W Cheyenne Ave, Suite 100, North Las Vegas, NV 89032-8212 | 2017-10-30 |
| 1063924470 | Brooks Family Clinic | Medical Genetics | 3550 W Cheyenne Ave, Suite 100, North Las Vegas, NV 89032-8212 | 2017-10-26 |
| 1417469826 | Brooks Family Clinic | Substance Abuse Rehabilitation Facility | 3550 W Cheyenne Ave, Suite 100, North Las Vegas, NV 89032-8212 | 2017-10-26 |
| Street Address |
3550 W CHEYENNE AVE SUITE 100 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032-8212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114220050 | Kulinda Dannielle Rollins | Rehabilitation Practitioner | 3550 W Cheyenne Ave, Ste 130, North Las Vegas, NV 89032-8252 | 2010-12-15 |
| 1881183689 | Aaron L Gaines | Counselor | 3550 W Cheyenne Ave, North Las Vegas, NV 89032-8212 | 2018-05-07 |
| 1881106987 | Brooks Family Clinic | Clinic/Center | 3550 W Cheyenne Ave, Suite 100, North Las Vegas, NV 89032-8212 | 2017-10-30 |
| 1063924470 | Brooks Family Clinic | Medical Genetics | 3550 W Cheyenne Ave, Suite 100, North Las Vegas, NV 89032-8212 | 2017-10-26 |
| 1417469826 | Brooks Family Clinic | Substance Abuse Rehabilitation Facility | 3550 W Cheyenne Ave, Suite 100, North Las Vegas, NV 89032-8212 | 2017-10-26 |
| 1275914756 | Sean Patrick Flint | Registered Nurse | 3550 W Cheyenne Ave, North Las Vegas, NV 89032-8212 | 2015-06-10 |
| 1639567241 | Claudia Rockmaker | Social Worker | 3550 W Cheyenne Ave, Suite 130, North Las Vegas, NV 89032-8212 | 2015-01-05 |
| 1619377108 | Z Thomas | Rehabilitation Counselor | 3550 W Cheyenne Ave, North Las Vegas, NV 89032-8212 | 2014-09-03 |
| 1306252762 | Melissa Hildebrand | Behavioral Analyst | 3550 W Cheyenne Ave, 130, North Las Vegas, NV 89032-8212 | 2014-07-07 |
| 1770925034 | Amy M O'connell | Social Worker | 3550 W Cheyenne Ave, Suite 130, North Las Vegas, NV 89032-8252 | 2013-07-26 |
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| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427599737 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 3470 W Cheyenne Ave Ste 400, North Las Vegas, NV 89032-8244 | 2017-03-20 |
| 1548602022 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 2290 Mcdaniel St Ste 1c, North Las Vegas, NV 89030-6330 | 2013-07-24 |
| 1043393309 | Nevada Medical Systems, Inc. | Clinic/Center | 2516 E Lake Mead Blvd, North Las Vegas, NV 89030-6414 | 2006-10-23 |
| 1619418928 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 2290 Mcdaniel St Ste 1c, North Las Vegas, NV 89030-6329 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653595 | A New Mind Health Services Inc | Clinic/Center | 320 N Nellis Blvd Ste 6, Las Vegas, NV 89110-5390 | 2018-09-18 |
| 1972044287 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 160 Hubbard Way Ste A, Reno, NV 89502-3780 | 2017-03-20 |
| 1538552815 | Nganha Cheung | Clinic/Center | 8455 S. Eastern Avenue, Las Vegas, NV 89183 | 2015-03-11 |
| 1215235213 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 3050 E Desert Inn Rd Ste 116, Las Vegas, NV 89121-3872 | 2011-03-01 |
| 1265763890 | Desert Treatment Clinic LLC | Clinic/Center | 1546 W Warm Springs Rd Ste 130, Henderson, NV 89014-4326 | 2010-01-21 |
| 1063617736 | Vegas Valley Treatment Center | Clinic/Center | 1325 S Commerce St, Las Vegas, NV 89102-2530 | 2007-06-20 |
| 1508068271 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 3470 W Cheyenne Ave, Suite 400, Las Vegas, NV 89032-8244 | 2007-06-04 |
| 1043352917 | Drug Treatment Systems, Inc. | Clinic/Center | 704 W Sunset Rd Ste B9, Henderson, NV 89015-2616 | 2007-02-13 |
| 1407994569 | Drug Treatment Systems, Inc. | Clinic/Center | 1800 Industrial Rd Ste 208, Las Vegas, NV 89102-2686 | 2007-02-01 |
| 1972686210 | Center for Behavioral Health Las Vegas, Inc. | Clinic/Center | 160 Hubbard Way, Suite A, Reno, NV 89502-3709 | 2006-10-23 |
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| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on BROOKS FAMILY CLINIC.
| 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.