LAKEISHA WATERS (NPI# 1588131569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588131569 |
| Entity Type | Individual |
| Full Name | LAKEISHA WATERS |
| Credential | QMHA |
| Practice Address |
268 Delta Waters St Henderson NV 89074-8712 |
| Practice Telephone | 7254004098 |
| Practice Fax Number | 7256055874 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | NV20181737315 | NV | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
268 DELTA WATERS ST |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-8712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119683 | Fountain of Hope L.L.C. | Community Based Residential Treatment Facility, Mental Illness | 268 Delta Waters St, Henderson, NV 89074-8712 | 2018-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119683 | Fountain of Hope L.L.C. | Community Based Residential Treatment Facility, Mental Illness | 268 Delta Waters St, Henderson, NV 89074-8712 | 2018-10-12 |
| 1740721505 | 2nd Helpings Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 187 Ruidoso Ln, Henderson, NV 89074-1003 | 2017-03-13 |
| 1598997959 | Divine Prodigy LLC | Community Based Residential Treatment Facility, Mental Illness | 117 Church St, 115 Carmel Ridge Rd, Henderson, NC 27536-4226 | 2009-08-19 |
| 1437210259 | American Human Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1410 N Lynnbank Rd, Henderson, NC 27537-7331 | 2006-12-13 |
| 1639616758 | Just Like Home Care Services | Community Based Residential Treatment Facility, Mental Illness | 2714 Duck Pond Ct, Henderson, NV 89074-1915 | 2017-01-26 |
| 1366995664 | Denise Peters-brown | Community Based Residential Treatment Facility, Mental Illness | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074 | 2016-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659465 | Dr Therapy Mental Wellness Centers | Community Based Residential Treatment Facility, Mental Illness | 2915 W Charleston Blvd Ste 125, Las Vegas, NV 89102-1939 | 2020-11-05 |
| 1891395869 | Brighter Development Behavorial Health Services | Community Based Residential Treatment Facility, Mental Illness | 3228 Villa Fiori Avenue, Las Vegas, NV 89141 | 2020-10-29 |
| 1588286330 | Unity Mental Health Services | Community Based Residential Treatment Facility, Mental Illness | 3100 Mill St Ste 112a, Reno, NV 89502-2273 | 2020-05-15 |
| 1427692532 | 3r Holdings LLC | Community Based Residential Treatment Facility, Mental Illness | 2860 S Bronco St, Las Vegas, NV 89146-5208 | 2019-10-31 |
| 1265093934 | Synergy Health | Community Based Residential Treatment Facility, Mental Illness | 9472 Wakashan Ave, Las Vegas, NV 89149-0502 | 2019-06-24 |
| 1023676129 | Butterfly Wings LLC | Community Based Residential Treatment Facility, Mental Illness | 9445 Coral Berry St, Las Vegas, NV 89123-5832 | 2019-06-03 |
| 1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
| 1285191981 | A New Brighter Future | Community Based Residential Treatment Facility, Mental Illness | 50 N Honolulu St, Las Vegas, NV 89110-4301 | 2019-02-28 |
| 1003370032 | Dehaven Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 3100 Mill St Ste 218, Reno, NV 89502-2217 | 2019-01-23 |
| 1912471814 | Latoya Rodgers | Community Based Residential Treatment Facility, Mental Illness | 1172 Warm Canyon Way, Las Vegas, NV 89123-3601 | 2019-01-14 |
| Find all providers with the same taxonomy | ||||
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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.