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

Q: What is Dhhs, Ihs, Phoenix Area, Nevada Skies Youth's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

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: August 16, 2026.

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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.

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

Phone(775) 352-6840

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

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Other Names 1

Former Legal Business NameNevada Skies Youth Wellness Center

Other Identifiers 1

Medicaid727370AZ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D1101053

Nevada Skies Youth Wellness Center · Wadsworth, NV

Active · expires Jun 17, 2027

CLIA Number29D1101053

Laboratory TypeYouth Residential Treatme

Certificate Effective DateJune 18, 2025

Certificate Expiration DateJune 17, 2027

Laboratory DirectorAmy Parker

Laboratory Phone(520) 562-3801

Laboratory LocationNevada Skies Youth Wellness Center104 Big Bend Ranch, Wadsworth, NV 89442

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MRS. JODY MARIE RAY

Counselor (Addiction (Substance Use Disorder))