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

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.

On this page

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

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

Open in Google Maps ↗

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.