COMMUNITY PLACEMENTS OF NEVADA LLC NPI 1164072427

Clinic/Center (Developmental Disabilities) in Henderson, NV

Organization Clinic/Center Developmental Disabilities

About COMMUNITY PLACEMENTS OF NEVADA LLC

Community Placements Of Nevada Llc is a provider established in Henderson, Nevada specializing in clinic/center. The NPI number of Community Placements Of Nevada Llc is 1164072427 and was assigned on September 2019. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated September 2019. The authorized official of this NPI record is Phillip Allen Mft Intern (Executive Director)

NPI

1164072427

Provider NameCOMMUNITY PLACEMENTS OF NEVADA LLC
Provider Location Address9065 S PECOS RD STE 270 HENDERSON, NV 89074
Provider Mailing Address9065 S PECOS RD STE 270 HENDERSON, NV 89074
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-18-2019
Last Update Date09-18-2019

Primary Taxonomy

Taxonomy Code261QD1600X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationDevelopmental Disabilities
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Business Address

COMMUNITY PLACEMENTS OF NEVADA LLC
9065 S PECOS RD STE 270
HENDERSON, NV
ZIP 89074
Phone: (702) 767-8672

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Mailing Address

COMMUNITY PLACEMENTS OF NEVADA LLC
9065 S PECOS RD STE 270
HENDERSON, NV
ZIP 89074
Phone: (702) 767-8672

Authorized Official

Authorized Official Name PHILLIP ALLEN MFT INTERN
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(702) 767-8672

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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