DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH
NPI 1689800013
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Wadsworth, NV

Active since May 29, 2009CLIA 29D1101053 · Waiver
104 BIG BEND RANCH ROAD, WADSWORTH, NV 89442(775) 352-6840(775) 575-3180 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dhhs, Ihs, Phoenix Area, Nevada Skies Youth NPPES

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

DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH (NPI 1689800013), doing business as Nevada Skies Youth Wellness Center, is a healthcare organization registered as a substance abuse treatment, children in Wadsworth, Nevada and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Holly M Elliott, Chief Executive Officer, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1689800013
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameDHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH
Location Address104 BIG BEND RANCH ROADWadsworth, NV 89442
Mailing AddressPo Box 280, 104 Big Bend Ranch RoadWadsworth, NV 89442 · (775) 352-6840 · Fax (775) 575-3180
Fax(775) 575-3180
Organization SubpartNo
Authorized OfficialHolly M ElliottChief Executive Officer · (520) 562-4205
Enumeration DateMay 29, 2009
Last NPPES UpdateOctober 31, 2012
NPI 1689800013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Licenses Licensed · 275789 Licensed in NV · N/A
Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License N/A (NV)
104 BIG BEND RANCH ROAD, Wadsworth, NV 89442

Other Names 1

Former Legal Business NameNevada Skies Youth Wellness Center

Other Identifiers 1

Medicaid727370AZ

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
29D1101053
Facility Type
Other - YOUTH RESIDENTIAL TREATME
Certificate Effective Date
June 18, 2025
Certificate Expiration Date
June 17, 2027
Laboratory Director
AMY PARKER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dhhs, Ihs, Phoenix Area, Nevada Skies Youth to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
104 BIG BEND RANCH ROAD
WADSWORTH, NV 89442
Counselor (Addiction (Substance Use Disorder))
104 BIG BEND RANCH ROAD
WADSWORTH, NV 89442
Health Educator
104 BIG BEND RANCH ROAD
WADSWORTH, NV 89442
Registered Nurse
104 BIG BEND RANCH ROAD
WADSWORTH, NV 89442
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
104 BIG BEND RANCH ROAD
WADSWORTH, NV 89442
Counselor (Mental Health)
104 BIG BEND RANCH ROAD
WADSWORTH, NV 89442
Marriage & Family Therapist
104 BIG BEND RANCH ROAD
WADSWORTH, NV 89442

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689800013, enumerated as an "organization" on May 29, 2009.

The provider is located at 104 BIG BEND RANCH ROAD WADSWORTH, NV 89442 and the phone number is (775) 352-6840.

Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.