MAPLE STAR NEVADA


Address: 2090 Seattle Shore St, Las Vegas, NV 89115-5227
Phone: 6783611979

MAPLE STAR NEVADA (NPI# 1114159787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114159787
Entity Type Organization
Organization Name MAPLE STAR NEVADA
Practice Address 2090 Seattle Shore St
Las Vegas
NV 89115-5227
Practice Telephone 6783611979
Practice Fax Number 7024313512
Mailing Telephone 6783611979
Enumeration Date 2009-08-17
Last Update Date 2009-08-17
Authorized Official Name CHARLES RICHARD TRIMBLE (PROGRAM DIRECTOR)
Authorized Official Telephone 7027338098
Authorized Official Credential M.A.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821549270 Maple Star Nevada Counselor 4773 Caughlim Pkwy, Suite 2, Reno, NV 89519 2016-10-20
1942595210 Maple Star Nevada Foster Care Agency 8455 Offenhauser Dr, #517, Reno, NV 89511 2011-06-15
1245437458 Maple Star Nevada Community/Behavioral Health 2965 S. Jones Blvd. Ste. E1, Las Vegas, NV 89146-5606 2007-06-29
1760523658 Maple Star Nevada Clinic/Center 2965 S Jones Blvd Ste 101, Las Vegas, NV 89146-5629 2007-02-12
1356482236 Maple Star Nevada Clinic/Center 100 Washington St. Ste 350, Tucson, AZ 85711 2007-02-12
1730220930 Maple Star Nevada Clinic/Center 495 Idaho St Ste 101, Elko, NV 89801-3713 2007-02-09
1972644144 Maple Star Nevada Clinic/Center 2965 S Jones Blvd Ste E1, Las Vegas, NV 89146-5606 2007-02-09
1912048547 Maple Star Nevada Clinic/Center 100 Washington St Ste 350, Reno, NV 89503-5648 2007-02-08
1407469034 Maple Star Nevada Community/Behavioral Health 855 W 7th St, Reno, NV 89503-2745 2020-08-24
1649645177 Maple Star Nevada Clinic/Center 2725 E Desert Inn Rd Ste 180, Las Vegas, NV 89121-3627 2015-12-09

Office Location

Street Address 2090 SEATTLE SHORE ST
City LAS VEGAS
State NV
Zip Code 89115-5227

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235739392 Maxima Del Carmen Garcia Technician 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 2020-10-28
1316555097 Alma Liz Cuello Gonzalez Technician 3735 Gulliver St, Las Vegas, NV 89115 2020-07-17
1689214397 Reginald Powers Technician 3817 N Nellis Blvd, Apt 218, Las Vegas, NV 89115 2020-01-10
1932748779 Mindworks Mental Health Clinic Clinic/Center 3830 Timberlake Dr., Las Vegas, NV 89115 2019-12-26
1982249801 Limitless Behavioral Services Health LLC Community/Behavioral Health 4370 E Craig Rd, Apt 2123, Las Vegas, NV 89115 2019-11-14
1033751102 Patricia Rangel Technician 3125 North Pecos Rd Apt #112, Las Vegas, NV 89115 2019-10-10
1003388471 Nikera Island Technician 9564 Nellis Blvd, Las Vegas, NV 89115 2018-12-26
1295218519 Craig Duerson Behavioral Analyst 3624 Elegant Saint Ct, Las Vegas, NV 89115 2018-09-12
1043719750 Mary Bernadette Mitchell Technician 3715 Hayward Field Rd, Las Vegas, NV 89115 2018-02-08
1689190563 Brian D Rentie Jr. Behavior Technician 4730 E. Craig Rd #2160, Las Vegas, NV 89115 2017-08-22
Find all providers in zip 89115

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City LAS VEGAS
Zip Code 89115

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Dataset Information

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.

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