ADOLESCENT TREATMENT CENTER (NPI# 1548719255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548719255 |
Entity Type | Organization |
Organization Name | ADOLESCENT TREATMENT CENTER |
Practice Address |
480 Galetti Way Sparks NV 89431 |
Mailing Address |
480 Galletti Way Sparks NV 89431-5564 |
Practice Telephone | 7756881663 |
Mailing Telephone | 7756881663 |
Enumeration Date | 2016-09-23 |
Last Update Date | 2016-09-23 |
Authorized Official Name | JESSICA TERESA VILLONE-REMBERT (MENTAL HEALTH TECHNICIAN) |
Authorized Official Telephone | 7756881663 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 4415 | NV | Residential Treatment Facilities |
Street Address |
480 GALETTI WAY |
City | SPARKS |
State | NV |
Zip Code | 89431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
1164814208 | Erick Becerra | Counselor | 1555 Oddie Blvd Suite B, Sparks, NV 89431 | 2015-02-26 |
Find all providers in zip 89431 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063928810 | Bella Cares Provider Services LLC | Community Based Residential Treatment Facility, Mental Illness | 414 Field St, Sparks, NV 89431-4148 | 2017-12-15 |
1851825897 | Ambiance Providers Home Services | Community Based Residential Treatment Facility, Mental Illness | 1298 Highgate Ct, Sparks, NV 89434-0762 | 2017-04-17 |
1669910394 | Sage Brush Behaviroal Health LLC | Community Based Residential Treatment Facility, Mental Illness | 2780 Sunny Slope Dr, Sparks, NV 89434-2679 | 2017-02-01 |
1366812729 | Lifetime Assistance | Community Based Residential Treatment Facility, Mental Illness | 1877 El Rancho Dr Apt 22, Sparks, NV 89431-1080 | 2015-09-29 |
1780052365 | Rising Star | Community Based Residential Treatment Facility, Mental Illness | 975 Locomotive Way, Sparks, NV 89434-5806 | 2015-09-12 |
1538548516 | Akel Ahmad | Community Based Residential Treatment Facility, Mental Illness | 3445 Dawn Cir, Sparks, NV 89431-1254 | 2015-05-24 |
1558668459 | Erica Christine Young | Community Based Residential Treatment Facility, Mental Illness | 515 E Gault Way, Sparks, NV 89431-2482 | 2011-02-12 |
1003055799 | Nick B Stevens | Community Based Residential Treatment Facility, Mental Illness | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2009-02-19 |
1700319993 | Healing Hands Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 3258 Bunker Hill Ln, Sparks, NV 89431-1150 | 2017-04-05 |
1801267356 | Nneka Gibney | Community Based Residential Treatment Facility, Mental Illness | 1877 El Rancho Dr Apt 22, Sparks, NV 89431-1080 | 2015-10-09 |
Find all providers in SPARKS |
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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.