LIFE CHANGES BEHAVIORAL HEALTH (NPI# 1902308638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902308638 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGES BEHAVIORAL HEALTH |
| Practice Address |
6300 Mccarran St North Las Vegas NV 89081-8135 |
| Practice Telephone | 7024015398 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | ERICA KENT (OWNER) |
| Authorized Official Telephone | 7024015398 |
| 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 |
6300 MCCARRAN ST |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89081-8135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205002599 | Robert B. Kim | Dentist | 6300 Mccarran St, #2147, North Las Vegas, NV 89081-8135 | 2008-05-06 |
| 1831574136 | American Grace Wellness | Community/Behavioral Health | 6300 Mccarran St, 1170, North Las Vegas, NV 89081-8135 | 2015-07-28 |
| 1598049371 | Tabitha J Smith | Rehabilitation Practitioner | 6300 Mccarran St, Apt #2111, North Las Vegas, NV 89081-8135 | 2011-09-28 |
| 1184904914 | Calvin Guess | Rehabilitation Practitioner | 6300 Mccarran St, # 2079, North Las Vegas, NV 89081-8135 | 2011-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144879719 | Saniya Dion Wilson | Technician | 4828 Celsion Rock Street, Las Vegas, NV 89081 | 2019-09-06 |
| 1932609526 | Victoria Lashelle Jones | Chore Provider | 3821 Pecos Park Ave, Las Vegas, NV 89081 | 2018-02-20 |
| 1912414483 | Ar Complete Homecare, Inc | Chore Provider | 1127 Emerald Stone Ave, N Las Vegas, NV 89081 | 2018-01-05 |
| 1558872986 | Noemi Cabrera | Nurse Practitioner | 6121 Broccoli St, N. Las Vegas, NV 89081 | 2017-10-12 |
| 1912426909 | Olive Branch Mentoring | Community/Behavioral Health | 5548 Ayers Cliff Street, North Las Vegas, NV 89081 | 2017-09-12 |
| 1336689447 | Andrew Rooks | Student in an Organized Health Care Education/Training Program | 5005 Losee Road, 2016, North Las Vegas, NV 89081 | 2017-03-08 |
| 1932649464 | Sheila Flipse | Counselor | 713 Mission Del Oro Avenue, North Las Vegas, NV 89081 | 2017-03-02 |
| 1376090894 | Rebuilding To Success | Community/Behavioral Health | 3212 Carolina Moon Ave, North Las Vegas, NV 89081 | 2016-09-01 |
| 1447602164 | Courage-cynthia Ugbodu | Counselor | 5424 Talmo St, North Las Vegas, NV 89081 | 2016-07-06 |
| 1710338686 | Dejuan Peterson | Social Worker | 2825 Aspen Club Ave, North Las Vegas, NV 89081 | 2016-06-22 |
| Find all providers in zip 89081 | ||||
| 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 |
| 1598204604 | Levada House | Community Based Residential Treatment Facility, Mental Illness | 3365 W Craig Rd, Ste # 9, North Las Vegas, NV 89032-5112 | 2017-02-22 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89081 |
Please comment or provide details below to improve the information on LIFE CHANGES BEHAVIORAL 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.