STEPHAN MELANCON


Address: 4000 E Charleston Blvd, Suite B-230, Las Vegas, NV 89104-6659
Phone: 7029685000

STEPHAN MELANCON (NPI# 1740497106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740497106
Entity Type Individual
Full Name STEPHAN MELANCON
Practice Address 4000 E Charleston Blvd
Suite B-230
Las Vegas
NV 89104-6659
Mailing Address 1255 S 8th St
Las Vegas
NV 89104-1546
Practice Telephone 7029685000
Practice Fax Number 7029685050
Mailing Telephone 7026721425
Enumeration Date 2007-05-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Office Location

Street Address 4000 E CHARLESTON BLVD
SUITE B-230
City LAS VEGAS
State NV
Zip Code 89104-6659

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083683874 Nevada Family Practice Residence Program Pharmacy 4000 E Charleston Blvd, B-130, Las Vegas, NV 89104-6659 2006-03-15
1598207847 Delores Glenn-lewis Counselor 4000 E Charleston Blvd, 226, Las Vegas, NV 89104-6659 2016-11-17
1447602974 Dori Hilson Social Worker 4000 E Charleston Blvd, Las Vegas, NV 89104-6659 2016-07-08
1386096766 Alexis Harris Community Health Worker 4000 E Charleston Blvd, Ste. 230, Las Vegas, NV 89104-6659 2016-07-08
1770930133 Erin Maria Spanberger Counselor 4000 E Charleston Blvd, Suite #230, Las Vegas, NV 89104-6659 2016-05-16
1447619267 Brandi Mcconnell Social Worker 4000 E Charleston Blvd, Suite 230, Las Vegas, NV 89104-6659 2016-02-22
1548639271 Desirae Chantal Murenzi Registered Nurse 4000 E Charleston Blvd, Sutie 230, Las Vegas, NV 89104-6659 2015-09-23
1518335801 Angela Acuna Registered Nurse 4000 E Charleston Blvd, Suite 230, Las Vegas, NV 89104-6659 2015-09-03
1053795898 Natalie Rose Schmaltz Social Worker 4000 E Charleston Blvd, 230, Las Vegas, NV 89104-6659 2015-07-10
1124456033 Winnie Wegner Registered Nurse 4000 E Charleston Blvd, Ste #130, Las Vegas, NV 89104-6659 2013-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550635 Comfort Care Senior Services LLC In Home Supportive Care 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 2020-08-26
1508484734 Accessible Space Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1405 South Mojave Rd, Las Vegas, NV 89104 2020-07-14
1003448333 Shirley Lauren Valenzona-gianan Pharmacist Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 2020-02-05
1427602713 Alma Lucia Lozano-vargas Chore Provider 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 2019-07-25
1396398947 Martinez Antuan Coates Psychologist 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 2019-07-23
1982171518 Ian Sande Occupational Therapist 1500 West Warm Springs Rd, Las Vegas, NV 89104 2018-11-01
1215436563 A Better Life In Home Care, LLC Technician 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 2018-02-01
1891202016 Nevada Helping Hands LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 2018-01-09
1760901581 Fannie Bell Counselor 1800 E. Sahara Suite 104, Las Vegas, NV 89104 2017-09-13
1386162147 Jaclyn Mustachio Social Worker 1860 E Sahara Ave, Las Vegas, NV 89104 2017-08-31
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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
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
1912471814 Latoya Rodgers Community Based Residential Treatment Facility, Mental Illness 1172 Warm Canyon Way, Las Vegas, NV 89123-3601 2019-01-14
1760959522 Beehive Homes of Paradise Valley Inc Community Based Residential Treatment Facility, Mental Illness 3841 E Twain Ave, Las Vegas, NV 89121-4520 2018-10-30
1811478712 Malaika Tamu Hadley Jaffe Community Based Residential Treatment Facility, Mental Illness 6644 Jordan River Dr, Las Vegas, NV 89156 2018-08-28
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Competitor

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City LAS VEGAS
Zip Code 89104

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Dataset Information

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.

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