MOBILE MENTAL HEALTH (NPI# 1659677870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659677870 |
| Entity Type | Organization |
| Organization Name | MOBILE MENTAL HEALTH |
| Practice Address |
736 Hill Shine Ave North Las Vegas NV 89031-2394 |
| Practice Telephone | 7024623604 |
| Mailing Telephone | 7024623604 |
| Enumeration Date | 2011-02-05 |
| Last Update Date | 2011-02-05 |
| Authorized Official Name | ILLYAS MALIK JENKINS (INDEPENDENT CONTRACTOR) |
| Authorized Official Telephone | 7024623604 |
| Authorized Official Credential | BS,QMHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
736 HILL SHINE AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89031-2394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598073603 | Sharon Delois Evans | Rehabilitation Practitioner | 736 Hill Shine Ave, North Las Vegas, NV 89031-2394 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071039 | Dimuro Facilities Services | Pain Medicine | Dimuro Pain Management, 3970 W Ann Road Ste 100, N Las Vegas, NV 89031 | 2019-12-27 |
| 1225681323 | Jasmine Coleman | Home Health Aide | 1517 Santa Rosalia Dr., North Las Vegas, NV 89031 | 2019-07-18 |
| 1558924134 | Jamie Esprecion | Driver | 3007 Extravagant Ave, North Las Vegas, NV 89031 | 2019-04-18 |
| 1831652387 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 4461 North Decatur Blvd, Ste 110, N Las Vegas, NV 89031 | 2019-04-11 |
| 1265928550 | Geraldine Alford | Chore Provider | 5150 El Camino Norte Suite 150, Las Vegas, NV 89031 | 2018-07-10 |
| 1861999468 | Danielle Anderson | Counselor | 4528 West Craig Suite 150, Las Vegas, NV 89031 | 2018-04-10 |
| 1871094078 | Ethel Richardson | Chore Provider | 620 Manuel Edwardo Ave, N. Las Vegas, NV 89031 | 2018-02-22 |
| 1124547997 | Crystal Dorin Mcdowell | Counselor | 5920 Palmilla St Unit 5, North Las Vegas, NV 89031 | 2017-09-13 |
| 1699293308 | Mitzi Darnell Adeyemi | Counselor | 2205 Mountain Sunset Ave, North Las Vegas, NV 89031 | 2017-09-01 |
| 1831629500 | Emily Davis | Case Manager/Care Coordinator | 1926 La Villa Dr, North Las Vegas, NV 89031 | 2017-06-15 |
| Find all providers in zip 89031 | ||||
| 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 |
|---|---|---|---|---|
| 1013416619 | Harmony Family Health LLC. | Community Based Residential Treatment Facility, Mental Illness | 410 River Glider Ave, North Las Vegas, NV 89084-1221 | 2018-02-08 |
| 1922526730 | Evans Health Services LLC | Community Based Residential Treatment Facility, Mental Illness | 4124 Greenbridge St, North Las Vegas, NV 89032-6126 | 2017-08-31 |
| 1891220786 | Passport To Independence LLC | Community Based Residential Treatment Facility, Mental Illness | 580 W Cheyenne Ave Ste 40, North Las Vegas, NV 89030-3978 | 2017-04-27 |
| 1235677477 | 1love Wellness Society, LLC | Community Based Residential Treatment Facility, Mental Illness | 6719 Sugarbird Ct, North Las Vegas, NV 89084-2227 | 2017-02-08 |
| 1992247266 | Hallway 2 A Heart | Community Based Residential Treatment Facility, Mental Illness | 1313 Misty View Court, North Las Vegas, NV 89031-1059 | 2016-11-17 |
| 1003366097 | Limitless Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 2405 Parasail Point Ave, North Las Vegas, NV 89031-0968 | 2016-10-13 |
| 1144773391 | In Karing Arms Inc | Community Based Residential Treatment Facility, Mental Illness | 3052 Balcones Fault Ave, North Las Vegas, NV 89081-6409 | 2016-07-24 |
| 1992273213 | Lashannon R Lewis | Community Based Residential Treatment Facility, Mental Illness | 1633 Fontana Cliffs Ct, North Las Vegas, NV 89084-2028 | 2018-11-05 |
| 1700362191 | Bridge of Hope Behavioral Health LLC. | Community Based Residential Treatment Facility, Mental Illness | 410 River Glider Ave, North Las Vegas, NV 89084-1221 | 2018-07-18 |
| 1902308638 | Life Changes Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 6300 Mccarran St, North Las Vegas, NV 89081-8135 | 2018-03-08 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89031 |
Please comment or provide details below to improve the information on MOBILE MENTAL HEALTH.
| 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.