STATE OF NEVADA

Address: 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146
Phone: 7756881481

STATE OF NEVADA (NPI# 1821607193) 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) 1821607193
Entity Type Organization
Organization Name STATE OF NEVADA
Practice Address 6171 W Charleston Blvd Bldg 15
Las Vegas
NV 89146
Mailing Address 2655 Enterprise Dr
Reno
NV 89512-1666
Practice Telephone 7756881481
Practice Fax Number 7756881230
Mailing Telephone 7756881600
Mailing Fax Number 7756881616
Enumeration Date 2020-07-23
Last Update Date 2020-07-23
Authorized Official Name MANDI DAVIS (DEPUTY ADMINISTRATOR)
Authorized Official Telephone 7756847942
Is Organization Subpart Y
Parent Organization Name STATE OF NEVADA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
SR Mobile Crisis Response Team Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992314264 State of Nevada Community/Behavioral Health 4600 Kietzke Lane Bldg D, Reno, NV 89502 2020-07-23
1316574064 State of Nevada Psychiatric Residential Treatment Facility 2655 Enterprise Dr, Reno, NV 89512 2020-03-24
1114309432 State of Nevada Case Management 3416 Goni Rd Bldg D, 132, Carson City, NV 89706-8008 2015-06-23
1699914887 State of Nevada Case Management 775 Cornell Avenue, Suite A-1, Lovelock, NV 89419-0000 2009-02-11
1386805265 State of Nevada Public Health or Welfare 1000 E Williams Street, #205, Carson City, NV 80701 2008-06-23
1558549972 State of Nevada Case Management 100 Depot, #5, Caliente, NV 89008-0000 2008-02-07
1578741179 State of Nevada Case Management 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706-0668 2008-02-06
1336203892 State of Nevada Public Health or Welfare 1665 Old Hot Springs Rd Ste 157, Carson City, NV 89706-0663 2006-12-20
1184706012 State of Nevada Clinic/Center 825 S Main, Tonopah, NV 89049-0494 2006-10-19
1710069646 State of Nevada Clinic/Center 100 Depot #5, Caliente, NV 89008-0000 2006-10-19

Office Location

Street Address 6171 W CHARLESTON BLVD BLDG 15
City LAS VEGAS
State NV
Zip Code 89146

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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
1487214425 Jorge Luis Leon Sanzo Chore Provider 5000 W. Oakley Blvd Suite E1, Las Vegas, NV 89146 2019-06-20
Find all providers in zip 89146

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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
1194340471 Trac-B Exchange LLC Community/Behavioral Health 6114 W Charleston Blvd, Las Vegas, NV 89146-1127 2020-06-11
Find all providers in LAS VEGAS

Competitor

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City LAS VEGAS
Zip Code 89146

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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.