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PARADISE RANCH, LLC
NPI 1104162155
Community/Behavioral Health in Las Vegas, NV

Active since December 19, 2012
1722 PRIMROSE PATH, LAS VEGAS, NV 89108(702) 515-7117 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paradise Ranch, Llc NPPES

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

PARADISE RANCH, LLC (NPI 1104162155) is a healthcare organization registered as a community/behavioral health in Las Vegas, Nevada and active in the NPI registry since December 2012. The organization lists Paul Donald Rogers, Director, as its authorized official.

NPPES Registry Identity

NPI1104162155
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePARADISE RANCH, LLC
Location Address1722 PRIMROSE PATHLas Vegas, NV 89108-1918
Mailing Address1722 Primrose PathLas Vegas, NV 89108-1918
Phone(702) 515-7117
Organization SubpartNo
Authorized OfficialPaul Donald RogersDirector · (702) 515-7117
Enumeration DateDecember 19, 2012
✔ NPI 1104162155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
1722 PRIMROSE PATH, Las Vegas, NV 89108
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Other Identifiers 1

Medicaid1447519095NV

Other Providers at the Same Location NPPES 6

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

MARIA VALDEZ
Rehabilitation Practitioner
1722 PRIMROSE PATH
LAS VEGAS, NV 89108
Clark County (702) 515-7117
AISHA ELIZONDO
Behavior Analyst
1722 PRIMROSE PATH
LAS VEGAS, NV 89108
Clark County (702) 515-7117
MR. PAUL DONALD ROGERS III M.S.
Counselor
1722 PRIMROSE PATH
LAS VEGAS, NV 89108
Clark County (702) 515-7117
MR. BONNY RAPHAEL BONAPARTE II
Behavior Analyst
1722 PRIMROSE PATH
LAS VEGAS, NV 89108
Clark County (702) 515-7117
GREGORY MARTIN COLE
Counselor (Mental Health)
1722 PRIMROSE PATH
LAS VEGAS, NV 89108
Clark County (702) 515-7117
STEPHANIE FLANAGAN
Counselor (Mental Health)
1722 PRIMROSE PATH
LAS VEGAS, NV 89108
Clark County (702) 515-7117

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 Paradise Ranch, LLC's NPI number?

The NPI number for Paradise Ranch, LLC is 1104162155. It was assigned to this organization in the NPPES registry on December 19, 2012.

Where is Paradise Ranch, LLC located?

Paradise Ranch, LLC is located at 1722 Primrose Path, Las Vegas, NV 89108. The listed phone number is (702) 515-7117.

What is Paradise Ranch, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Paradise Ranch, LLC was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.