EBONY RELIEF CHARITABLE INC. (NPI# 1851933873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851933873 |
| Entity Type | Organization |
| Organization Name | EBONY RELIEF CHARITABLE INC. |
| Practice Address |
1721 E Charleston Blvd Las Vegas NV 89104-1902 |
| Practice Telephone | 7026850620 |
| Practice Fax Number | 7026859674 |
| Mailing Telephone | 7026850620 |
| Mailing Fax Number | 7026859674 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | FESTUS EBONKA (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7025159680 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Ika Wellness | Doing Business As Name - Organization |
| Street Address |
1721 E CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89104-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932241007 | Festus Ebonka | Nurse Practitioner | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2007-02-13 |
| 1699391011 | Bright Star Urgent Care | Clinic/Center | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2020-06-22 |
| 1801412218 | Matthew Okeke, M.d. Ltd | Nurse Practitioner | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2020-06-22 |
| 1699390427 | Matthew Okeke, M.d. Ltd | Clinic/Center | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2020-06-08 |
| 1053931576 | Vegas Innovative Psychiatry | Clinic/Center | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2020-04-24 |
| 1558981068 | Vegas Innovative Psychiatry | Psychologist | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2020-04-24 |
| 1104308147 | Nevada Integrated Behavioral Services Inc. | Counselor | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2018-09-06 |
| 1083158489 | Melisa Stephens | Community Health Worker | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2016-12-05 |
| 1952852097 | Nevada Integrated Behavioral Services Inc. | Community/Behavioral Health | 1721 E Charleston Blvd, 1721, Las Vegas, NV 89104-1902 | 2016-10-24 |
| 1699225599 | Ebonny Ventures Inc | Clinic/Center | 1721 E Charleston Blvd, 1721, Las Vegas, NV 89104-1902 | 2016-10-04 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 89104 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698556 | Therapy of Southern Nevada | Community/Behavioral Health | 4100 W Flamingo Rd Ste 1442, Las Vegas, NV 89103-3924 | 2020-10-30 |
| 1114527355 | Nevada Behavioral Services | Community/Behavioral Health | 2880 E Flamingo Rd Ste G, Las Vegas, NV 89121-5223 | 2020-10-27 |
| 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 |
| 1326653551 | Serene Behavioral Health LLC | Community/Behavioral Health | 5800 W Charleston Blvd Apt 2051, Las Vegas, NV 89146-1297 | 2020-09-14 |
| 1124630678 | Robert Thomas Marbury IIi | Community/Behavioral Health | 501 S Rancho Dr Ste B10, Las Vegas, NV 89106-4830 | 2020-08-17 |
| 1124637335 | Monica Petroff | Community/Behavioral Health | 3540 W Sahara Ave #e6, Las Vegas, NV 89102-9253 | 2020-07-24 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1023635273 | Greatness Through Wellness Services | Community/Behavioral Health | 2350 S Jones Blvd Ste 206mon85, Las Vegas, NV 89146-3103 | 2020-07-02 |
| 1568088391 | Bridgeway Family Services LLC | Community/Behavioral Health | 11186 Fort Bowie St, Las Vegas, NV 89179-1223 | 2020-06-17 |
| Find all providers in LAS VEGAS | ||||
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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.