HERMITAGE RANCH BEHAVIORAL HEALTH SERVICES LLC (NPI# 1700205440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700205440 |
| Entity Type | Organization |
| Organization Name | HERMITAGE RANCH BEHAVIORAL HEALTH SERVICES LLC |
| Practice Address |
25772 Hermitage Rd Pioche NV 89043-2597 |
| Mailing Address |
7495 W Azure Dr Suite 120 Las Vegas NV 89130-4416 |
| Practice Telephone | 7024997755 |
| Practice Fax Number | 8889598990 |
| Mailing Telephone | 7025154010 |
| Mailing Fax Number | 8889598990 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | MRS. MISTY D BOURNE (EXECUTIVE MANAGER) |
| Authorized Official Telephone | 7025154010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
25772 HERMITAGE RD |
| City | PIOCHE |
| State | NV |
| Zip Code | 89043-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275951998 | Rachel Madden | Rehabilitation Practitioner | 25772 Hermitage Rd, Pioche, NV 89043-2597 | 2014-03-31 |
| 1447678156 | Michael Fields | Rehabilitation Practitioner | 25772 Hermitage Rd, Pioche, NV 89043-2597 | 2014-03-31 |
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1881294932 | Jahir Treyvont Anderson | Community/Behavioral Health | 2163 Denevi Dr, Sparks, NV 89434-3457 | 2020-10-28 |
| 1114527355 | Nevada Behavioral Services | Community/Behavioral Health | 2880 E Flamingo Rd Ste G, Las Vegas, NV 89121-5223 | 2020-10-27 |
| 1043819006 | Battle Born Wellness, LLC | Community/Behavioral Health | 3732 Lakeside Dr Ste 202, Reno, NV 89509-5278 | 2020-10-21 |
| 1164020947 | Pathways Health Services | Community/Behavioral Health | 5813 Michael Dean St, North Las Vegas, NV 89081-4422 | 2020-10-13 |
| 1386241131 | Shawn Humphreys | Community/Behavioral Health | 3110 W Cheyenne Ave Ste 100, North Las Vegas, NV 89032-2254 | 2020-10-05 |
| 1538766670 | Positivity Counseling Center | Community/Behavioral Health | 3488 Alghero Ave, Henderson, NV 89044-1795 | 2020-10-01 |
| 1013514165 | Grateful Guidance Center | Community/Behavioral Health | 1838 Giant Rock Pl, North Las Vegas, NV 89031-1671 | 2020-10-01 |
| 1295341733 | P Saint Roc LLC | Community/Behavioral Health | 1700 Alta Dr Apt 2124, Las Vegas, NV 89106-4174 | 2020-09-21 |
| 1609482181 | Kristie Leialoha Dias | Community/Behavioral Health | 9986 Catseye Cove Ct, Las Vegas, NV 89183-7203 | 2020-09-19 |
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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.