NV ST DV MH DS DESERT DEV CENTER (NPI# 1780045542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780045542 |
| Entity Type | Organization |
| Organization Name | NV ST DV MH DS DESERT DEV CENTER |
| Practice Address |
1391 S Jones Blvd Las Vegas NV 89146-1200 |
| Practice Telephone | 7024866200 |
| Mailing Telephone | 7024866200 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | MR. DARREL HANSEN (ASO) |
| Authorized Official Telephone | 7024866200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144681909 | Nv St Dv Mh Ds Desert Dev Center | Respite Care | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2016-03-08 |
| 1881755635 | Nv St Dv Mh Ds Desert Dev Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2006-12-13 |
| Street Address |
1391 S JONES BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952479545 | Thomas Louis Plesec | Psychologist | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2006-12-01 |
| 1144681909 | Nv St Dv Mh Ds Desert Dev Center | Respite Care | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2016-03-08 |
| 1912367889 | State of Nevada Desert Regional Center | Respite Care | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2016-03-04 |
| 1316302623 | T J Hunt Med Services, Pllc | Family Medicine | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2015-12-31 |
| 1275838724 | Jennifer L Dodds | Behavioral Analyst | 1391 S Jones Blvd, Building 1300, Las Vegas, NV 89146-1200 | 2011-01-13 |
| 1669776647 | Eric Alan Tarin | Technician, Other | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2011-01-05 |
| 1184928780 | June Y. Yato | Counselor | 1391 S Jones Blvd, Bldg 1300, Las Vegas, NV 89146-1200 | 2010-12-22 |
| 1386896835 | University of Nv School of Medicine Mutli Specialty Group Practice So | Family Medicine | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2008-10-15 |
| 1548436314 | Bruce Nisberg | Counselor | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2008-05-01 |
| 1760544969 | Nv St Dv Mh Ds So Nv Mr Svcs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841644127 | New Vista Ranch Inc | Respite Care | 5220 W Charleston Blvd, Las Vegas, NV 89146-1345 | 2016-04-22 |
| 1912539032 | Kathleen Ann Andrade | Respite Care | 5575 S Durango Dr, Las Vegas, NV 89113-1833 | 2020-02-06 |
| 1144681909 | Nv St Dv Mh Ds Desert Dev Center | Respite Care | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2016-03-08 |
| 1730549593 | Inovative Behavior Solutions Inc | Respite Care | 5828 Spring Mountain Rd Ste 318, Las Vegas, NV 89146-8896 | 2016-03-07 |
| 1912367889 | State of Nevada Desert Regional Center | Respite Care | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2016-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962864439 | Dungarvin Nevada, LLC - Las Vegas | Respite Care | 3325 W Craig Rd Ste A, North Las Vegas, NV 89032-5002 | 2016-03-24 |
| 1841650231 | James Larocca | Respite Care | 172 Mount Earl Ave, Henderson, NV 89012-5703 | 2016-02-29 |
| 1184084477 | Jacqueline Borges | Respite Care | 10350 Thomas Creek Rd, Reno, NV 89511-5449 | 2016-02-29 |
| 1932569548 | Karen Reynolds | Respite Care | 995 Turnberry Dr, Sparks, NV 89436-0884 | 2016-02-25 |
| 1972976702 | Dungarvin Nevada, LLC - Reno | Respite Care | 1325 Airmotive Way Ste 325, Reno, NV 89502-3289 | 2015-11-02 |
| 1730485293 | Matthew Aaron Graham | Respite Care | 1710 Sky Mountain Way, Henderson, NV 89014-6013 | 2011-02-01 |
| 1598126443 | Nv St Dv Mh/ds Rural Regional Center | Respite Care | 605 S 21st St, Sparks, NV 89431-8100 | 2016-03-18 |
| 1548621543 | Nv St Dv Mh/ds Rural Regional Center | Respite Care | 605 S 21st St, Sparks, NV 89431-8100 | 2016-03-18 |
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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.