IGNITE TEEN TREATMENT, LLC (NPI# 1346751526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346751526 |
| Entity Type | Organization |
| Organization Name | IGNITE TEEN TREATMENT, LLC |
| Other Organization Name | IGNITE TEEN TREATMENT |
| Practice Address |
3722 Lone Mesa Dr Las Vegas NV 89147 |
| Mailing Address |
3722 Lone Mesa Dr Las Vegas NV 89147-6814 |
| Practice Telephone | 3107216447 |
| Mailing Telephone | 3107216447 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | ALAN BOND (CFO) |
| Authorized Official Telephone | 3107216447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Ignite Teen Treatment | Doing Business As Name - Organization |
| Ignite Therapy Community | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4465 S Buffalo Dr Ste D, Las Vegas, NV 891475006 | 3107216447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551682 | Ignite Teen Treatment, LLC | Clinic/Center | 2761 Family Ct, Las Vegas, NV 89117-2601 | 2020-09-03 |
| 1629609441 | Ignite Teen Treatment, LLC | Substance Abuse Rehabilitation Facility | 4465 S Buffalo Dr Ste D, Las Vegas, NV 89147-5006 | 2020-01-30 |
| 1063984219 | Ignite Teen Treatment, LLC | Clinic/Center | 3621 Bahama Bay Ct, Las Vegas, NV 89147-6800 | 2018-12-28 |
| Street Address |
3722 LONE MESA DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| 1154725851 | Rosemary Wilson-melton | Behavioral Analyst | 7400 W Flamingo Rd #1079, Las Vegas, NV 89147 | 2014-10-09 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424829 | Eden Treatment, LLC | Psychiatric Residential Treatment Facility | 7390 Edna Ave, Las Vegas, NV 89117-2902 | 2020-10-14 |
| 1043879083 | Eden Treatment, LLC | Psychiatric Residential Treatment Facility | 3636 Dutch Valley Dr, Las Vegas, NV 89147-6806 | 2019-06-12 |
| 1811953003 | State of Nevada | Psychiatric Residential Treatment Facility | 6171 W Charleston Blvd, Bldg. #17, Las Vegas, NV 89146-1126 | 2006-04-25 |
| 1255306270 | Uhs of Spring Mountain Inc | Psychiatric Residential Treatment Facility | 7000 Spring Mountain Rd, Las Vegas, NV 89117 | 2006-02-22 |
| 1740816206 | State of Nevada | Psychiatric Residential Treatment Facility | 6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146 | 2020-03-17 |
| 1427465400 | Sbh-montevista, LLC | Psychiatric Residential Treatment Facility | 5900 W Rochelle Ave, Las Vegas, NV 89103-3304 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1164903613 | Crc Ed Treatment LLC | Psychiatric Residential Treatment Facility | 2501 Holcomb Ranch Ln, Reno, NV 89511-9558 | 2018-08-23 |
| 1306338215 | Douglas Co and Unincorporated Towns | Psychiatric Residential Treatment Facility | 225 China Spring Rd, Gardnerville, NV 89410 | 2018-06-06 |
| 1871029082 | New Benchmark | Psychiatric Residential Treatment Facility | 1472 W Hwy 373, Amargosa Valley, NV 89020 | 2017-05-08 |
| 1174989578 | Aisha Marpa Santos | Psychiatric Residential Treatment Facility | 1219 Starstone Ct, Henderson, NV 89014-7899 | 2016-01-14 |
| 1063827749 | Kw Legacy Ranch, LLC | Psychiatric Residential Treatment Facility | 1760 Sr 318, Hiko, NV 89017-2215 | 2014-06-21 |
| 1962557975 | Crc Ed Treatment, Inc | Psychiatric Residential Treatment Facility | 1500 Pass Dr, Reno, NV 89509 | 2007-01-23 |
| 1538773858 | Seven Hills Hospital, LLC | Psychiatric Residential Treatment Facility | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2020-09-03 |
| 1316555691 | Seven Hills Hospital LLC | Psychiatric Residential Treatment Facility | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2020-07-22 |
| 1275154833 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Residential Treatment Facility | 6940 Sierra Center Pkwy, Reno, NV 89511-2209 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
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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.