360 MEDHP LLC


Address: 2110 E Flamingo Rd Ste 360, Las Vegas, NV 89119-5190
Phone: 7025594751

360 MEDHP LLC (NPI# 1336763903) 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) 1336763903
Entity Type Organization
Organization Name 360 MEDHP LLC
Practice Address 2110 E Flamingo Rd Ste 360
Las Vegas
NV 89119-5190
Practice Telephone 7025594751
Mailing Telephone 7025594751
Enumeration Date 2020-05-29
Last Update Date 2020-05-29
Authorized Official Name MS. MAYZINE AYALA (MANAGING MEMBER)
Authorized Official Telephone 7029809624
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 2110 E FLAMINGO RD STE 360
City LAS VEGAS
State NV
Zip Code 89119-5190

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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1285252742 Accessible Space Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3209 Cedar St, Las Vegas, NV 89104-4472 2020-07-10
1649898107 Accessible Space Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4935 N Miller Ln, Las Vegas, NV 89149-5201 2020-07-10
1447766670 Kaes Cube of Life LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3909 S Maryland Pkwy Ste 305, Las Vegas, NV 89119-7520 2017-12-26
1639683469 Ccf Health & Behavioral LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5109 Ackaburg Ct, Las Vegas, NV 89130-2148 2017-12-01
1023566023 Ray Travis Goodin Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2625 Wyandotte St, # 17, Las Vegas, NV 89102-6471 2016-09-19
1689075780 Helping Crusaders Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5388 Flowing Spring St, Las Vegas, NV 89122-7677 2014-09-08
1780964619 Dialysis Care of Nevada Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5364 Harvest Breeze Rd, Las Vegas, NV 89118-2034 2011-08-23
1356650303 Grace & Mercy Human Services,inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 880 Blankenship Ave, Las Vegas, NV 89106-2230 2010-09-24
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Competitor

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City LAS VEGAS
Zip Code 89119

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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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