OLIVE CREST (NPI# 1396950374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396950374 |
| Entity Type | Organization |
| Organization Name | OLIVE CREST |
| Practice Address |
4285 N Rancho Dr Ste 160 Las Vegas NV 89130-3456 |
| Mailing Address |
2130 E 4th St Ste 200 Santa Ana CA 92705-3818 |
| Practice Telephone | 7026853459 |
| Practice Fax Number | 7028518528 |
| Mailing Telephone | 7145435437 |
| Mailing Fax Number | 7145435463 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | MR. DONALD A. VERLEUR II (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7145435437 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253J00000X | Foster Care Agency | NV | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | NV | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100508320 | 05 | |
| NV | 100508326 | 05 | |
| NV | 100508325 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573971 | Olive Crest | Community/Behavioral Health | 10125 Frontier Pl Nw, Silverdale, WA 98383-9408 | 2020-09-21 |
| 1144865379 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20025 Vista Del Lago Ste A, Perris, CA 92570-7170 | 2019-11-12 |
| 1235774464 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20025 Vista Del Lago Ste B, Perris, CA 92570-7170 | 2019-11-12 |
| 1245875467 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20051 Vista Del Lago Ste A, Perris, CA 92570-7170 | 2019-11-12 |
| 1174168397 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20051 Vista Del Lago Ste B, Perris, CA 92570-7170 | 2019-11-12 |
| 1720551971 | Olive Crest | Community/Behavioral Health | 4510 E Pacific Coast Hwy Ste 450, Long Beach, CA 90804-6924 | 2019-01-09 |
| 1215418165 | Olive Crest | Community/Behavioral Health | 525 Technology Ct Ste 102, Riverside, CA 92507-2181 | 2018-08-28 |
| 1659878809 | Olive Crest | Residential Treatment Facility, Emotionally Disturbed Children | 13442 Malena Dr, Santa Ana, CA 92705-1912 | 2018-04-12 |
| 1366949513 | Olive Crest | Residential Treatment Facility, Emotionally Disturbed Children | 19356 Saylor Terrace, Santa Ana, CA 92705 | 2018-04-12 |
| 1578060919 | Olive Crest | Residential Treatment Facility, Emotionally Disturbed Children | 159 N Wheeler St, Orange, CA 92869-3217 | 2018-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OLIVE CREST | 2130 East 4th Street Ste 200, Santa Ana, CA 92705-3818 |
| Washington State Corporations | OLIVE CREST INVESTORS LLC | 720 Seneca St, Suite B, Seattle, WA 98101-3265 |
| System for Award Management (SAM) Entities | OLIVE CREST LEARNING TREE | 7180 N 60th St, Omaha, NE 68152-2207 |
| Street Address |
4285 N RANCHO DR STE 160 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89130-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902417876 | Denice Severin | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2020-08-13 |
| 1346851219 | Michael Severin | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2020-08-13 |
| 1801405113 | Terry Russell | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2020-07-23 |
| 1376189803 | April Burns | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2019-11-19 |
| 1164068698 | James Burns | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2019-11-19 |
| 1457900169 | Mazal Chasson-forrest | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2019-09-05 |
| 1215583141 | Tanya Thomas | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2019-08-15 |
| 1902452816 | Judith Terwilliger | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2019-08-15 |
| 1578119400 | Marc Meiesalgado | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2019-08-15 |
| 1932755865 | Bretten Meiesalgado | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1669033833 | Doran Gaston | Behavioral Analyst | 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-27 |
| 1700447547 | Lakeisha Lloved | Behavioral Analyst | 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1952962797 | Dana Lloved | Behavioral Analyst | 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1316501596 | Positively Therapy | Counselor | 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 | 2019-04-23 |
| 1427518356 | Rebecca Aragon | Behavioral Analyst | 5803 West Craig Road, Las Vegas, NV 89130 | 2019-03-25 |
| 1568929198 | Clear Choice Therapeutic Center, LLC | Community/Behavioral Health | 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 | 2019-03-01 |
| 1699239095 | Jennifer Lee Kearns | Rehabilitation Practitioner | 3680 N Racho Drive, Las Vegas, NV 89130 | 2019-01-30 |
| 1730651852 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave #130, Las Vegas, NV 89130 | 2018-12-31 |
| 1376015685 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave Suite # 130, Las Vegas, NV 89130 | 2018-12-27 |
| Find all providers in zip 89130 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698556 | Therapy of Southern Nevada | Community/Behavioral Health | 4100 W Flamingo Rd Ste 1442, Las Vegas, NV 89103-3924 | 2020-10-30 |
| 1114527355 | Nevada Behavioral Services | Community/Behavioral Health | 2880 E Flamingo Rd Ste G, Las Vegas, NV 89121-5223 | 2020-10-27 |
| 1295341733 | P Saint Roc LLC | Community/Behavioral Health | 1700 Alta Dr Apt 2124, Las Vegas, NV 89106-4174 | 2020-09-21 |
| 1609482181 | Kristie Leialoha Dias | Community/Behavioral Health | 9986 Catseye Cove Ct, Las Vegas, NV 89183-7203 | 2020-09-19 |
| 1326653551 | Serene Behavioral Health LLC | Community/Behavioral Health | 5800 W Charleston Blvd Apt 2051, Las Vegas, NV 89146-1297 | 2020-09-14 |
| 1124630678 | Robert Thomas Marbury IIi | Community/Behavioral Health | 501 S Rancho Dr Ste B10, Las Vegas, NV 89106-4830 | 2020-08-17 |
| 1124637335 | Monica Petroff | Community/Behavioral Health | 3540 W Sahara Ave #e6, Las Vegas, NV 89102-9253 | 2020-07-24 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1023635273 | Greatness Through Wellness Services | Community/Behavioral Health | 2350 S Jones Blvd Ste 206mon85, Las Vegas, NV 89146-3103 | 2020-07-02 |
| 1568088391 | Bridgeway Family Services LLC | Community/Behavioral Health | 11186 Fort Bowie St, Las Vegas, NV 89179-1223 | 2020-06-17 |
| 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.