VOGUE RECOVERY CENTER, LLC (NPI# 1215436605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215436605 |
| Entity Type | Organization |
| Organization Name | VOGUE RECOVERY CENTER, LLC |
| Practice Address |
6655 W Sahara Ave Ste D208 Las Vegas NV 89146-0851 |
| Practice Telephone | 8189168116 |
| Mailing Telephone | 8189168116 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |
| Authorized Official Name | GEORGE BOYADZHYAN (CEO) |
| Authorized Official Telephone | 8189168116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NEVADA DHS LICENSE | 8779-ADA-0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851437 | Vogue Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 4011 Mcleod Dr Unit A, Las Vegas, NV 89121-4305 | 2020-01-27 |
| 1740810316 | Vogue Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 4011 Mcleod Dr Unit B, Las Vegas, NV 89121-4305 | 2020-01-22 |
| 1417456336 | Vogue Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 4122 N 17th St, Phoenix, AZ 85016-5922 | 2018-02-06 |
| 1497293856 | Vogue Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 7790 Edna Ave, Las Vegas, NV 89117-2965 | 2017-02-06 |
| Street Address |
6655 W SAHARA AVE STE D208 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-0851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497300339 | Ian Christian Williamson | Counselor | 6655 W Sahara Ave Ste D208, Las Vegas, NV 89146-0851 | 2019-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879638 | Luxe Treatment Center LLC | Substance Abuse Rehabilitation Facility | 4845 N Riley St, Las Vegas, NV 89149-4124 | 2020-07-24 |
| 1891312005 | Hope Street LLC | Substance Abuse Rehabilitation Facility | 4465 S Buffalo Dr Ste B, Las Vegas, NV 89147-5006 | 2020-07-03 |
| 1407483456 | There Is No Hero In Heroin (tinhih) | Substance Abuse Rehabilitation Facility | 900 Karen Ave Ste D206, Las Vegas, NV 89109-1273 | 2020-03-26 |
| 1629609441 | Ignite Teen Treatment, LLC | Substance Abuse Rehabilitation Facility | 4465 S Buffalo Dr Ste D, Las Vegas, NV 89147-5006 | 2020-01-30 |
| 1144851437 | Vogue Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 4011 Mcleod Dr Unit A, Las Vegas, NV 89121-4305 | 2020-01-27 |
| 1740810316 | Vogue Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 4011 Mcleod Dr Unit B, Las Vegas, NV 89121-4305 | 2020-01-22 |
| 1003451584 | Nevada Rehab LLC | Substance Abuse Rehabilitation Facility | 2651 Westwood Dr, Las Vegas, NV 89109-1117 | 2019-11-08 |
| 1578118717 | Vegas Wellness Treatment Center | Substance Abuse Rehabilitation Facility | 3920 W Charleston Blvd Ste N, Las Vegas, NV 89102-1651 | 2019-08-05 |
| 1629635644 | Thrive Solutions LLC | Substance Abuse Rehabilitation Facility | 5510 S Fort Apache Rd Ste 13, Las Vegas, NV 89148-7700 | 2019-05-24 |
| 1740714815 | Cloudskywest | Substance Abuse Rehabilitation Facility | 8455 S Eastern Ave, Las Vegas, NV 89123 | 2017-04-17 |
| 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.