BUTTERFLY WINGS LLC (NPI# 1023676129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023676129 |
| Entity Type | Organization |
| Organization Name | BUTTERFLY WINGS LLC |
| Practice Address |
9445 Coral Berry St Las Vegas NV 89123-5832 |
| Practice Telephone | 7025448742 |
| Mailing Telephone | 7025448742 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Authorized Official Name | SHANTA NEAL (OWNER) |
| Authorized Official Telephone | 7025448742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NA | NA | 01 |
| Street Address |
9445 CORAL BERRY ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89123-5832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595319 | Shanta Neal | Behavioral Analyst | 9445 Coral Berry St, Las Vegas, NV 89123-5832 | 2019-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894096 | Jpn Holdings Corp | Home Health Aide | 8275 S Eastern Ave Ste 246, Las Vegas, NV 89123 | 2020-09-03 |
| 1104463488 | Rafaat Yousif Rafael | Technician | 8365 Montgomery St, Las Vegas, NV 89123 | 2019-12-05 |
| 1386287357 | Nadhc At Eastern, Inc | Respite Care | 8695 Eastern Ave., Las Vegas, NV 89123 | 2019-10-23 |
| 1619523677 | Nadhc At Eastern, Inc | Clinic/Center | 8695 S. Eastern Ave., Las Vegas, NV 89123 | 2019-08-15 |
| 1437714995 | Vladimir Jose Pedraza | Technician | 8330 Collado St, Las Vegas, NV 89123 | 2019-05-09 |
| 1174026017 | Jenni Das | Behavior Technician | 62 E Serene Ave Unit 129, Las Vegas, NV 89123 | 2018-03-16 |
| 1134621717 | Catherine Domingo Leanu | Technician | 9490 Bermuda Road, Apt 1121, Las Vegas, NV 89123 | 2018-02-28 |
| 1801397583 | Titus Aldea | Technician | 8419 Yamhill St, Las Vegas, NV 89123 | 2018-02-27 |
| 1699291997 | Angel's Touch Home Care LLC | In Home Supportive Care | 8382 Marcasel Dr, Las Vegas, NV 89123 | 2017-08-17 |
| 1427578152 | Adrianna Jones | Rehabilitation Practitioner | 1901 S. Jones Blvd., Las Vegas, NV 89123 | 2017-06-23 |
| Find all providers in zip 89123 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659465 | Dr Therapy Mental Wellness Centers | Community Based Residential Treatment Facility, Mental Illness | 2915 W Charleston Blvd Ste 125, Las Vegas, NV 89102-1939 | 2020-11-05 |
| 1891395869 | Brighter Development Behavorial Health Services | Community Based Residential Treatment Facility, Mental Illness | 3228 Villa Fiori Avenue, Las Vegas, NV 89141 | 2020-10-29 |
| 1427692532 | 3r Holdings LLC | Community Based Residential Treatment Facility, Mental Illness | 2860 S Bronco St, Las Vegas, NV 89146-5208 | 2019-10-31 |
| 1265093934 | Synergy Health | Community Based Residential Treatment Facility, Mental Illness | 9472 Wakashan Ave, Las Vegas, NV 89149-0502 | 2019-06-24 |
| 1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
| 1285191981 | A New Brighter Future | Community Based Residential Treatment Facility, Mental Illness | 50 N Honolulu St, Las Vegas, NV 89110-4301 | 2019-02-28 |
| 1912471814 | Latoya Rodgers | Community Based Residential Treatment Facility, Mental Illness | 1172 Warm Canyon Way, Las Vegas, NV 89123-3601 | 2019-01-14 |
| 1760959522 | Beehive Homes of Paradise Valley Inc | Community Based Residential Treatment Facility, Mental Illness | 3841 E Twain Ave, Las Vegas, NV 89121-4520 | 2018-10-30 |
| 1811478712 | Malaika Tamu Hadley Jaffe | Community Based Residential Treatment Facility, Mental Illness | 6644 Jordan River Dr, Las Vegas, NV 89156 | 2018-08-28 |
| 1861985541 | Next Level Living LLC | Community Based Residential Treatment Facility, Mental Illness | 4051 W Viking Rd Ste 277, Las Vegas, NV 89103-6004 | 2018-06-07 |
| 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.