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SUPER YOUTH OF NEVADA
NPI 1174895890
Rehabilitation Practitioner in Las Vegas, NV

Active since January 27, 2012
867 WORRELL AVE, LAS VEGAS, NV 89123(702) 748-1508 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Super Youth Of Nevada NPPES

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

SUPER YOUTH OF NEVADA (NPI 1174895890) is a healthcare organization registered as a rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since January 2012. The organization lists Demetrius Jemil Hunter, Manager, as its authorized official.

NPPES Registry Identity

NPI1174895890
Entity TypeOrganization
Primary Taxonomy225400000X
Legal Business NameSUPER YOUTH OF NEVADA
Location Address867 WORRELL AVELas Vegas, NV 89123-3183
Mailing Address867 Worrell Ave.Las Vegas, NV 89123-3183 · (702) 748-1508
Phone(702) 748-1508
Organization SubpartNo
Authorized OfficialDemetrius Jemil HunterManager · (702) 748-1508
Enumeration DateJanuary 27, 2012
Last NPPES UpdateApril 11, 2012
✔ NPI 1174895890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
867 WORRELL AVE, Las Vegas, NV 89123
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DEMETRIUS HUNTER
Rehabilitation Practitioner
867 WORRELL AVE, AVE
LAS VEGAS, NV 89123
Clark County (702) 491-5556
TIFFANY HUNTER
Rehabilitation Practitioner
867 WORRELL AVE
LAS VEGAS, NV 89123
Clark County (702) 289-2110

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 Super Youth Of Nevada's NPI number?

The NPI number for Super Youth Of Nevada is 1174895890. It was assigned to this organization in the NPPES registry on January 27, 2012.

Where is Super Youth Of Nevada located?

Super Youth Of Nevada is located at 867 Worrell Ave, Las Vegas, NV 89123. The listed phone number is (702) 748-1508.

What is Super Youth Of Nevada's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Super Youth Of Nevada was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.