FATHER FLANAGAN'S BOYS' HOME (NPI# 1013117100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013117100 |
| Entity Type | Organization |
| Organization Name | FATHER FLANAGAN'S BOYS' HOME |
| Other Organization Name | BOYS TOWN NEVADA |
| Practice Address |
821 N Mojave Rd Las Vegas NV 89101-2407 |
| Practice Telephone | 7026427070 |
| Practice Fax Number | 7026493906 |
| Mailing Telephone | 7026427070 |
| Mailing Fax Number | 7026493906 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | MR. HOWARD OLSHANSKY (CEO) |
| Authorized Official Telephone | 7026427070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100508196 | 05 | |
| NV | 100508195 | 05 |
| Other Name | Type Code |
|---|---|
| Boys Town Nevada | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023137833 | Father Flanagan's Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2007-03-29 |
| 1679638902 | Father Flanagan's Boys' Home | Community/Behavioral Health | 2591 Candler Rd, Decatur, GA 30032-6502 | 2006-12-27 |
| 1528165644 | Father Flanagan's Boys' Home | Clinic/Center | 17055 Frances St, Suite 102, Omaha, NE 68130-4655 | 2006-09-20 |
| 1518960319 | Father Flanagan's Boys' Home | Social Worker | 1655 Palm Beach Lakes Blvd Ste 300, West Palm Beach, FL 33401-2203 | 2005-05-24 |
| 1851945505 | Father Flanagan's Boys' Home | Psychologist | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2019-07-31 |
| 1073609798 | Father Flanagan's Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 555 N 30th St, Omaha, NE 68131-2136 | 2006-10-04 |
| 1295821825 | Father Flanagan's Boys' Home | Anesthesiology | 555 N 30th St, Omaha, NE 68131-2136 | 2006-10-04 |
| 1457458556 | Father Flanagan's Boys' Home | General Acute Care Hospital | 555 N 30th St, Omaha, NE 68131-2136 | 2006-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FATHER FLANAGAN'S BOYS' HOME | 14100 Crawford St, Boys Town, NE 68010 |
| Virginia Business Entities | FATHER FLANAGAN'S BOYS' HOME | 14100 Crawford St, Boys Town, Nebraska 68010-7520 |
| Street Address |
821 N MOJAVE RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89101-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023137833 | Father Flanagan's Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2007-03-29 |
| 1851945505 | Father Flanagan's Boys' Home | Psychologist | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2019-07-31 |
| 1649676941 | Tracy Barcus | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-11-13 |
| 1134525579 | Robert Barcus | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-11-12 |
| 1912307000 | Carlos Lopez | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-08-26 |
| 1306246483 | Caitlin Stapley | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-08-26 |
| 1497160733 | Leah Christine Brodie | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-06-25 |
| 1760897128 | William Harold Allen Berry | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-06-24 |
| 1114332574 | Brittani Berry | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-06-24 |
| 1740606912 | Ketra Johnson | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-03-12 |
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|---|---|---|---|---|
| 1225671290 | Nadhc At The Acsc, Inc. | Respite Care | 330 N. 13th Street, Las Vegas, NV 89101 | 2019-10-23 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1598311862 | Catalina Ruiz-perez | Technician | 1420 James St., L, Las Vegas, NV 89101 | 2019-08-13 |
| 1053880831 | Samantha Okumura | Specialist/Technologist | 701 E Bridger Ave Ste 150, Las Vegas, NV 89101 | 2018-11-21 |
| 1447752860 | Ratref T Havlin | Technician | 1820 East Bonanza Apt 1, Las Veges, NV 89101 | 2018-03-01 |
| 1396255808 | David Markus Stevens | Technician/Technologist | 930 N. 4th Street, Las Vegas, NV 89101 | 2017-10-10 |
| 1447789888 | Dustin Douglas | Driver | 50 N 21 St #139, Las Vegas, NV 89101 | 2017-06-08 |
| 1013389535 | Direct Scripts Mail, LLC | Pharmacy | 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 | 2015-10-23 |
| 1699169920 | Westcare Nevada Inc | Community/Behavioral Health | 323 N Maryland Parkway, Las Vegas, NV 89101 | 2015-03-25 |
| 1639574262 | Misty Davis | Registered Nurse | 930 N. 4th St., Las Vegas, NV 89101 | 2014-10-24 |
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| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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| 1639703598 | Lauren Fousek | Social Worker | 610 S Rancho Drive, #a10, Las Vegas, NV 89106-8910 | 2020-02-28 |
| 1780217679 | 58 10 Behavioral Health Services Pllc | Social Worker | 1810 E Sahara Ave Ste 212 373, Las Vegas, NV 89104-3707 | 2020-02-19 |
| 1801428602 | Chasstiry Vazquez | Social Worker | 2215 Renaissance Dr Ste C, Las Vegas, NV 89119-6729 | 2020-02-10 |
| 1437707486 | Charlene Miranda Paule | Social Worker | 2340 Paseo Del Prado Ste D110, Las Vegas, NV 89102-4340 | 2019-09-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.