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CHARLESTON RESIDENTIAL SERVICES LLC
NPI 1083167290
Assisted Living Facility in Las Vegas, NV

Active since July 25, 2016
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 382-7746 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charleston Residential Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLESTON RESIDENTIAL SERVICES LLC (NPI 1083167290) is a healthcare organization registered as an assisted living facility in Las Vegas, Nevada and active in the NPI registry since July 2016. The organization lists Jeffrey Iverson, President, as its authorized official.

NPPES Registry Identity

NPI1083167290
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCHARLESTON RESIDENTIAL SERVICES LLC
Location Address2121 W CHARLESTON BLVDLas Vegas, NV 89102-2205
Mailing Address840 S Rancho Dr # 4-613Las Vegas, NV 89106-3837
Phone(702) 382-7746
Organization SubpartNo
Authorized OfficialJeffrey IversonPresident · (702) 357-8811
Enumeration DateJuly 25, 2016
✔ NPI 1083167290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
2121 W CHARLESTON BLVD, Las Vegas, NV 89102
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT SOUCY LPC, LCPC, LPCC
Counselor (Mental Health)
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
NICHOLE MICHELLE MCDERMOTT CADC-I
Counselor
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
KEVIN JAMES GALL PRSS
Peer Specialist
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
JAMIE LEIGH HATFIELD
Peer Specialist
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
JUSTIN MARTIN LCSW
Social Worker (Clinical)
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 727-4360
DAVID ALLAN BOYLE APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
PAUL SMIRK PRSS-SUP AND PRSS
Peer Specialist
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
NICHOLAS RUSSELL EDWARD SAKOWSKI I LMSW, CSW-I
Social Worker (Clinical)
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charleston Residential Services LLC's NPI number?

The NPI number for Charleston Residential Services LLC is 1083167290. It was assigned to this organization in the NPPES registry on July 25, 2016.

Where is Charleston Residential Services LLC located?

Charleston Residential Services LLC is located at 2121 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 382-7746.

What is Charleston Residential Services LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Charleston Residential Services LLC was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.