DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH
NPI 1689800013
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Wadsworth, NV
- Organization
- Substance Abuse Rehabilitation Facility
- Substance Abuse Treatment, Children
- CLIA Number: 29D1101053
- CLIA Cert. Type: Other - YOUTH RESIDENTIAL TREATME
- CLIA Exp. Date: 06-17-2027
About DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH
This page provides the complete NPI Profile along with additional information for Dhhs, Ihs, Phoenix Area, Nevada Skies Youth, a provider established in Wadsworth, Nevada operating as a Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1689800013 assigned on May 2009. The practitioner's primary taxonomy code is 3245S0500X with license number 275789 (). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's former legal business name is Nevada Skies Youth Wellness Center. The authorized official of this NPI record is Holly M Elliott Rn, Ms (Chief Executive Officer)
- NPI
- 1689800013 Verify this NPI
- Provider Legal Name
- DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH
- Other Organization Name
- NEVADA SKIES YOUTH WELLNESS CENTER
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 104 BIG BEND RANCH ROAD WADSWORTH, NV 89442
- Location Phone
- (775) 352-6840
- Location Fax
- (775) 575-3180
- Mailing Address
- PO BOX 280 104 BIG BEND RANCH ROAD WADSWORTH, NV 89442
- Mailing Phone
- (775) 352-6840
- Mailing Fax
- (775) 575-3180
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-29-2009
- Last Update Date
- 10-31-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children
- Taxonomy Code
- 3245S0500X
- Type
- Residential Treatment Facilities
- License No.
- 275789
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | N/A (NV) |
| 2 | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | N/A (NV) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 727370 | MEDICAID (05) | AZ |
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.
WADSWORTH, NV 89442
WADSWORTH, NV 89442
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.
