STATE OF NEVADA


Address: 1161 S Valley View Blvd, Las Vegas, NV 89102-1854
Phone: 7024867670

STATE OF NEVADA (NPI# 1396831152) 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) 1396831152
Entity Type Organization
Organization Name STATE OF NEVADA
Practice Address 1161 S Valley View Blvd
Las Vegas
NV 89102-1854
Practice Telephone 7024867670
Mailing Telephone 7024867670
Enumeration Date 2006-10-05
Last Update Date 2008-06-20
Authorized Official Name MS. JANELLE MULVENON (BUREAU CHIEF)
Authorized Official Telephone 7756843461
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
Y 252Y00000X Early Intervention Provider Agency Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NV 005402024 05
NV 001702024 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992314264 State of Nevada Community/Behavioral Health 4600 Kietzke Lane Bldg D, Reno, NV 89502 2020-07-23
1821607193 State of Nevada Community/Behavioral Health 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 2020-07-23
1316574064 State of Nevada Psychiatric Residential Treatment Facility 2655 Enterprise Dr, Reno, NV 89512 2020-03-24
1114309432 State of Nevada Case Management 3416 Goni Rd Bldg D, 132, Carson City, NV 89706-8008 2015-06-23
1699914887 State of Nevada Case Management 775 Cornell Avenue, Suite A-1, Lovelock, NV 89419-0000 2009-02-11
1386805265 State of Nevada Public Health or Welfare 1000 E Williams Street, #205, Carson City, NV 80701 2008-06-23
1558549972 State of Nevada Case Management 100 Depot, #5, Caliente, NV 89008-0000 2008-02-07
1578741179 State of Nevada Case Management 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706-0668 2008-02-06
1336203892 State of Nevada Public Health or Welfare 1665 Old Hot Springs Rd Ste 157, Carson City, NV 89706-0663 2006-12-20
1184706012 State of Nevada Clinic/Center 825 S Main, Tonopah, NV 89049-0494 2006-10-19

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities STATE OF NEVADA RURAL CLINICS 4126 Technology Way 2nd Fl, Carson City, NV 89706-2027

Office Location

Street Address 1161 S VALLEY VIEW BLVD
City LAS VEGAS
State NV
Zip Code 89102-1854

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205462991 Candace Jorgensen Dietitian, Registered 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 2020-03-13
1659906360 Shirley Ann Farkas Dietitian, Registered 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 2020-03-03
1871132456 Nevada Early Intervention Services Early Intervention Provider Agency 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 2019-12-31
1780223362 Nevada Early Intervention Services Early Intervention Provider Agency 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 2019-12-31
1669956041 James T Ahlstrom Physical Therapist 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 2018-09-20
1619459948 Alexandra J Gurton Physical Therapist 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 2018-09-04
1891220919 Luigi John Sperduti Behavior Technician 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 2017-04-26
1447798350 Jessica Estrada Behavior Technician 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 2017-02-10
1922546266 Sara Green Behavior Technician 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 2017-02-07
1659817526 Raeanne Nelson Behavior Technician 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 2017-01-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851998397 Natasha Moore Technician 3210 W Charleston Suite 2, Las Vegas, NV 89102 2020-10-07
1568077113 Zulma Yaneth Tervizo Lopez Technician 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 2020-09-10
1922629765 Bianca Vaudreuil Religious Nonmedical Practitioner 3210 W Charleston Ste 2, Las Vegas, NV 89102 2020-05-04
1720608052 Angelica Gutierrez Technician Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 2020-04-16
1396370680 Juana Maria Hernandez Technician 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 2020-03-06
1609409648 Janie Washington Technician 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 2020-02-18
1447893185 Maria Josefina Castaneda Technician 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 2019-10-25
1427608777 Virginia Hernandez Tolentino Technician 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 2019-09-18
1972153872 Gladiola Cardoza Quinones Technician 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 2019-09-13
1801445572 Rafael Roberto Gonzalez Palomino Homemaker 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 2019-09-05
Find all providers in zip 89102

Taxonomy Information

Taxonomy Code 252Y00000X
Grouping Agencies
Classification Early Intervention Provider Agency

Taxonomy Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386195543 Paul Lee Early Intervention Provider Agency 9145 Las Vegas Blvd S, D3042, Las Vegas, NV 89123-3308 2016-10-21
1710399084 Larry Henderson Early Intervention Provider Agency 5100 Obannon Dr Apt 78, Las Vegas, NV 89146 2014-05-21
1063789105 Kideology, Ltd Early Intervention Provider Agency 5120 S Eastern Ave, Las Vegas, NV 89119-2305 2011-11-17
1366730434 The Applied Behavior Analysis Institute, Lc Early Intervention Provider Agency 1528 Sedro St, Las Vegas, NV 89144-6813 2011-07-11
1043474232 Rem Nevada Early Intervention Provider Agency 5693 South Jones, Las Vegas, NV 89118 2008-07-16
1184885220 Sprits Inc Early Intervention Provider Agency 9953 Madison Walk Ave, Las Vegas, NV 89149-3770 2008-06-20
1871132456 Nevada Early Intervention Services Early Intervention Provider Agency 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 2019-12-31
1780223362 Nevada Early Intervention Services Early Intervention Provider Agency 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 2019-12-31
1336791920 Goals for Autism, Inc. Early Intervention Provider Agency 5940 S Rainbow Blvd, Las Vegas, NV 89118-2506 2019-07-12
1326413881 London Family and Children's Services Early Intervention Provider Agency 2715 E Russell Rd, Las Vegas, NV 89120-2426 2015-12-09
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Competitor

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City LAS VEGAS
Zip Code 89102

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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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