SILVER STATE HEALTH SERVICES (NPI# 1356806061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356806061 |
Entity Type | Organization |
Organization Name | SILVER STATE HEALTH SERVICES |
Other Organization Name | SILVER STATE HEALTH AT RENAISSANCE |
Practice Address |
2215c Renaissance Dr Las Vegas NV 89119-6729 |
Practice Telephone | 7024710420 |
Practice Fax Number | 7024710420 |
Enumeration Date | 2019-02-06 |
Last Update Date | 2019-07-26 |
Authorized Official Name | DAVID RYAN LINDEN (CEO) |
Authorized Official Telephone | 7024710420 |
Is Organization Subpart | Y |
Parent Organization Name | SILVER STATE HEALTH SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Silver State Behavioral at Renaissance | Other Name - Individual/Organization |
Silver State Health at Renaissance | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
1073078788 | Silver State Health Services | Clinic/Center | 200 Foremaster Ln, Las Vegas, NV 89101-1008 | 2019-02-06 |
1598202913 | Silver State Health Services | Clinic/Center | 2965 S Jones Blvd Ste C, Las Vegas, NV 89146-5606 | 2017-01-23 |
1821630328 | Silver State Health Services | Clinic/Center | 2965 S Jones Blvd Ste C, Las Vegas, NV 89146-5606 | 2019-10-16 |
1396200838 | Silver State Health Services | Clinic/Center | 2255a Renaissance Dr, Las Vegas, NV 89119-6194 | 2019-02-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SILVER STATE HEALTH SERVICES | 2965 S Jones Blvd Ste C, Las Vegas, NV 89146-5606 |
Street Address |
2215C RENAISSANCE DR |
City | LAS VEGAS |
State | NV |
Zip Code | 89119-6729 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
Find all providers in zip 89119 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801357108 | All for Health Health for All Inc | Clinic/Center | 7477 W Lake Mead Blvd Ste 106, Las Vegas, NV 89128-0374 | 2019-03-28 |
1073078788 | Silver State Health Services | Clinic/Center | 200 Foremaster Ln, Las Vegas, NV 89101-1008 | 2019-02-06 |
1598202913 | Silver State Health Services | Clinic/Center | 2965 S Jones Blvd Ste C, Las Vegas, NV 89146-5606 | 2017-01-23 |
1912127630 | El Centro Family Health | Clinic/Center | 901 Baca, Las Vegas, NM 87701-2627 | 2007-04-26 |
1417075375 | Nevada Health Centers Inc | Clinic/Center | 403 W Wilson, Las Vegas, NV 89106 | 2007-03-27 |
1447378310 | Nevada Health Centers Inc | Clinic/Center | 2800 Stewart Ave, Las Vegas, NV 89101-4722 | 2007-03-27 |
1962520239 | Nevada Health Centers Inc | Clinic/Center | 2839 Burnham Ave, Las Vegas, NV 89169-1793 | 2007-03-26 |
1730113465 | Nevada Health Centers Inc | Clinic/Center | 310 9th St, Ste 110, Las Vegas, NV 89101 | 2006-07-10 |
1063039469 | Mission City Community Network, Inc. | Clinic/Center | 3220 N Bronco St, Las Vegas, NV 89108-4862 | 2020-07-01 |
1932745668 | Southern Nevada Health District | Clinic/Center | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2019-11-18 |
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.