FATHER FLANAGAN'S BOYS' HOME (NPI# 1023137833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023137833 |
| Entity Type | Organization |
| Organization Name | FATHER FLANAGAN'S BOYS' HOME |
| Other Organization Name | GIRLS AND BOYS TOWN OF 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 | 2007-03-29 |
| Last Update Date | 2007-07-18 |
| Authorized Official Name | MR. THOMAS WAITE (CEO) |
| Authorized Official Telephone | 7026427070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | N17000019011490 | NV | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Girls and Boys Town of Nevada | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1013117100 | Father Flanagan's Boys' Home | Psychiatry & Neurology | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2007-07-18 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1437574563 | Meghan Vargo | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers in zip 89101 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282786 | Avenues 2 Success | Residential Treatment Facility, Emotionally Disturbed Children | 9520 Chanticleer Ct, Las Vegas, NV 89129-7858 | 2018-04-17 |
| 1093030017 | Unepected Changes | Residential Treatment Facility, Emotionally Disturbed Children | 428 Marion Dr, Las Vegas, NV 89110-3473 | 2010-04-01 |
| 1306024773 | Father Flanagans Boys' Town | Residential Treatment Facility, Emotionally Disturbed Children | 8090 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
| 1215115688 | Father Flanagans Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 8110 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
| 1851579221 | Father Flanagans Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 8130 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
| 1942488317 | Father Flanagans Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 8160 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
| 1942487095 | Father Flanagans Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 8050 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-01-30 |
| 1780879635 | Honne B Care, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1221 Betty Ln, Las Vegas, NV 89110-1601 | 2007-09-12 |
| 1699820779 | Agape Children's Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5431 Lindero Pl, Las Vegas, NV 89119-2714 | 2007-01-25 |
| 1750726915 | Peoplesbehavior | Residential Treatment Facility, Emotionally Disturbed Children | 1121 W Adams Ave, Las Vegas, NV 89106-2946 | 2013-05-01 |
| Find all providers in LAS VEGAS | ||||
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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.