WYATT HOME LLC
NPI 1801739669
Community Based Residential Treatment Facility, Mental Illness in Las Vegas, NV

Active since April 14, 2026
1113 WYATT AVE, LAS VEGAS, NV 89106(702) 888-1312 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wyatt Home Llc NPPES

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

WYATT HOME LLC (NPI 1801739669) is a healthcare organization registered as a community based residential treatment facility, mental illness in Las Vegas, Nevada and active in the NPI registry since April 2026. The organization lists Lc Dizon, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1801739669
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameWYATT HOME LLC
Location Address1113 WYATT AVELas Vegas, NV 89106-2440
Mailing Address1113 Wyatt AveLas Vegas, NV 89106-2440
Organization SubpartNo
Authorized OfficialLc DizonManaging Member · (702) 569-6148
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
NPI 1801739669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1113 WYATT AVE, Las Vegas, NV 89106

Other Providers at the Same Location NPPES

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

Developmental Therapist
1113 WYATT AVE
LAS VEGAS, NV 89106

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 Wyatt Home LLC's NPI number?

The NPI number for Wyatt Home LLC is 1801739669. It was assigned to this organization in the NPPES registry on April 14, 2026.

Where is Wyatt Home LLC located?

Wyatt Home LLC is located at 1113 Wyatt Ave, Las Vegas, NV 89106. The listed phone number is (702) 888-1312.

What is Wyatt Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Wyatt Home LLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.