NV ST DV MH DS SO NV MR SVCS (NPI# 1760544969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760544969 |
| Entity Type | Organization |
| Organization Name | NV ST DV MH DS SO NV MR SVCS |
| Other Organization Name | DESERT REGIONAL CENTER |
| Practice Address |
1391 S Jones Blvd Las Vegas NV 89146-1200 |
| Practice Telephone | 7024866200 |
| Practice Fax Number | 7024866368 |
| Mailing Telephone | 7024866200 |
| Mailing Fax Number | 7024866368 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DARREL L. HANSEN (ADMIN SERV OFFICER) |
| Authorized Official Telephone | 7024866333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 698IMR-16 | NV | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Desert Regional Center | Other Name - Individual/Organization |
| Street Address |
1391 S JONES BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952479545 | Thomas Louis Plesec | Psychologist | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2006-12-01 |
| 1144681909 | Nv St Dv Mh Ds Desert Dev Center | Respite Care | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2016-03-08 |
| 1780045542 | Nv St Dv Mh Ds Desert Dev Center | Respite Care | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2016-03-08 |
| 1912367889 | State of Nevada Desert Regional Center | Respite Care | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2016-03-04 |
| 1316302623 | T J Hunt Med Services, Pllc | Family Medicine | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2015-12-31 |
| 1275838724 | Jennifer L Dodds | Behavioral Analyst | 1391 S Jones Blvd, Building 1300, Las Vegas, NV 89146-1200 | 2011-01-13 |
| 1669776647 | Eric Alan Tarin | Technician, Other | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2011-01-05 |
| 1184928780 | June Y. Yato | Counselor | 1391 S Jones Blvd, Bldg 1300, Las Vegas, NV 89146-1200 | 2010-12-22 |
| 1386896835 | University of Nv School of Medicine Mutli Specialty Group Practice So | Family Medicine | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2008-10-15 |
| 1548436314 | Bruce Nisberg | Counselor | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2008-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460480 | Greater Heights Behavioral Health, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3355 S Town Center Dr Apt 1027, Las Vegas, NV 89135-3001 | 2020-06-03 |
| 1467075226 | Klasic Mindset LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4550 W Oakey Blvd Ste 97, Las Vegas, NV 89102-1506 | 2020-05-27 |
| 1255980074 | Clark County Medical Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2680 Karen Ave Apt 1, Las Vegas, NV 89121-1158 | 2019-09-04 |
| 1407418601 | Josephs House LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8600 W Charleston Blvd Unit 208, Las Vegas, NV 89117-5407 | 2019-07-08 |
| 1962062901 | Healing Every Last Person | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9278 W Russell Rd, Las Vegas, NV 89148-1316 | 2019-06-20 |
| 1669032546 | Tancell Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4000 S Eastern Ave Ste 150, Las Vegas, NV 89119-0840 | 2019-06-13 |
| 1699333773 | L and M Providers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1832 N Decatur Blvd, Las Vegas, NV 89108-2264 | 2019-06-03 |
| 1184281750 | Better Behavior Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7345 S Durango Dr # 107-271, Las Vegas, NV 89113-3653 | 2019-05-20 |
| 1487217725 | Meaningful Solutions | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6717 W Charleston Blvd, Las Vegas, NV 89146-9204 | 2019-04-22 |
| 1184182651 | Phonix Rising Behavorial Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5000 Morning Falls Ave, Las Vegas, NV 89131-3634 | 2019-03-04 |
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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.