PARADISE RANCH, LLC (NPI# 1104162155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104162155 |
| Entity Type | Organization |
| Organization Name | PARADISE RANCH, LLC |
| Practice Address |
1722 Primrose Path Las Vegas NV 89108-1918 |
| Practice Telephone | 7025157117 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |
| Authorized Official Name | MR. PAUL DONALD ROGERS III (DIRECTOR) |
| Authorized Official Telephone | 7025157117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1447519095 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PARADISE RANCH, LLC | 20090 Marsh Rd, Bend, OR 97703 |
| Street Address |
1722 PRIMROSE PATH |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89108-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447519095 | Paul Donald Rogers IIi | Counselor | 1722 Primrose Path, Las Vegas, NV 89108-1918 | 2012-05-16 |
| 1477955516 | Bonny Raphael Bonaparte II | Behavioral Analyst | 1722 Primrose Path, Las Vegas, NV 89108-1918 | 2014-09-19 |
| 1407262967 | Aisha Elizondo | Behavioral Analyst | 1722 Primrose Path, Las Vegas, NV 89108-1918 | 2014-07-05 |
| 1053724047 | Maria Valdez | Rehabilitation Practitioner | 1722 Primrose Path, Las Vegas, NV 89108-1918 | 2014-06-06 |
| 1770908683 | Stephanie Flanagan | Counselor | 1722 Primrose Path, Las Vegas, NV 89108-1918 | 2014-02-28 |
| 1598003949 | Gregory Martin Cole | Counselor | 1722 Primrose Path, Las Vegas, NV 89108-1918 | 2013-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519380 | Alicia Becerra Meza | Technician | 6585 Lemitar Dr., Las Vegas, NV 89108 | 2020-08-18 |
| 1679181978 | Lisa Nicole Plonsky | Technician, Pathology | 1104 Smith St, Las Vegas, NV 89108 | 2020-07-22 |
| 1376185983 | Yazmin Pelayo | Technician | 1513 Fay Boulevard, Las Vegas, NV 89108 | 2019-10-15 |
| 1619523974 | Maria De Carmen Reynoso Ponce | Technician | 6431 Big Pine Way, Las Vegas, NV 89108 | 2019-08-13 |
| 1669028122 | Maricela Arteaga | Technician | 1425 Lilac Breeze Cr, Las Vegas, NV 89108 | 2019-08-12 |
| 1255808853 | Alexis Nicole Haynes | Health Educator | 2589 North Rancho Drive, Las Vegas, NV 89108 | 2018-11-01 |
| 1720554827 | Total Recovery Bhs | Community/Behavioral Health | 2436 Valparaiso St, Las Vegas, NV 89108 | 2018-10-17 |
| 1083104574 | Melissa Jacqueline Marie Howard | Rehabilitation Counselor | 4428 West Lake Mead Blvd, Las Vegas, NV 89108 | 2018-05-10 |
| 1104315647 | Pinnacle Medical Center | Family Medicine | 3172 N. Rainbow Blvd, Suite# 1176, Las Vegas, NV 89108 | 2018-05-09 |
| 1255845103 | Zaneqwah Shaw | Community/Behavioral Health | 3933 Lazy Pine St Unit 201, Las Vegas, NV 89108 | 2017-11-29 |
| Find all providers in zip 89108 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698556 | Therapy of Southern Nevada | Community/Behavioral Health | 4100 W Flamingo Rd Ste 1442, Las Vegas, NV 89103-3924 | 2020-10-30 |
| 1114527355 | Nevada Behavioral Services | Community/Behavioral Health | 2880 E Flamingo Rd Ste G, Las Vegas, NV 89121-5223 | 2020-10-27 |
| 1295341733 | P Saint Roc LLC | Community/Behavioral Health | 1700 Alta Dr Apt 2124, Las Vegas, NV 89106-4174 | 2020-09-21 |
| 1609482181 | Kristie Leialoha Dias | Community/Behavioral Health | 9986 Catseye Cove Ct, Las Vegas, NV 89183-7203 | 2020-09-19 |
| 1326653551 | Serene Behavioral Health LLC | Community/Behavioral Health | 5800 W Charleston Blvd Apt 2051, Las Vegas, NV 89146-1297 | 2020-09-14 |
| 1124630678 | Robert Thomas Marbury IIi | Community/Behavioral Health | 501 S Rancho Dr Ste B10, Las Vegas, NV 89106-4830 | 2020-08-17 |
| 1124637335 | Monica Petroff | Community/Behavioral Health | 3540 W Sahara Ave #e6, Las Vegas, NV 89102-9253 | 2020-07-24 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1023635273 | Greatness Through Wellness Services | Community/Behavioral Health | 2350 S Jones Blvd Ste 206mon85, Las Vegas, NV 89146-3103 | 2020-07-02 |
| 1568088391 | Bridgeway Family Services LLC | Community/Behavioral Health | 11186 Fort Bowie St, Las Vegas, NV 89179-1223 | 2020-06-17 |
| 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.