SPRUCE OAK RESIDENTIAL CARE FACILITY
NPI 1164825022
Assisted Living Facility - Assisted Living, Mental Illness in North Las Vegas, NV

Q: What is Spruce Oak Residential Care Facility's NPI number?

The NPI number for Spruce Oak Residential Care Facility is 1164825022. It was assigned to this organization in the NPPES registry on October 6, 2014.

Q: What is Spruce Oak Residential Care Facility's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since October 06, 2014

4618 SPRUCE OAK DR, NORTH LAS VEGAS, NV 89031(702) 462-2031 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Spruce Oak Residential Care Facility NPPES

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

SPRUCE OAK RESIDENTIAL CARE FACILITY (NPI 1164825022) is a healthcare organization registered as an assisted living, mental illness in North Las Vegas, Nevada and active in the NPI registry since October 2014. The organization lists Melissa St Jean, Manager, as its authorized official.

NPPES Registry Identity

NPI1164825022

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameSPRUCE OAK RESIDENTIAL CARE FACILITY

Location Address4618 SPRUCE OAK DRNorth Las Vegas, NV 89031-0179

Mailing Address4618 Spruce Oak DrNorth Las Vegas, NV 89031-0179 · (702) 462-2031

Phone(702) 462-2031

Organization SubpartNo

Authorized OfficialMelissa St JeanManager · (702) 235-9644

Enumeration DateOctober 6, 2014

Last NPPES UpdateNovember 25, 2014

✔ NPI 1164825022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in NV · 5954AGC-10

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

4618 SPRUCE OAK DR, North Las Vegas, NV 89031

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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 Spruce Oak Residential Care Facility's NPI number?

The NPI number for Spruce Oak Residential Care Facility is 1164825022. It was assigned to this organization in the NPPES registry on October 6, 2014.

Where is Spruce Oak Residential Care Facility located?

Spruce Oak Residential Care Facility is located at 4618 Spruce Oak Dr, North Las Vegas, NV 89031. The listed phone number is (702) 462-2031.

What is Spruce Oak Residential Care Facility's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Spruce Oak Residential Care Facility was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.