MALAIKA TAMU HADLEY JAFFE (NPI# 1811478712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811478712 |
| Entity Type | Individual |
| Full Name | MALAIKA TAMU HADLEY JAFFE |
| Practice Address |
6644 Jordan River Dr Las Vegas NV 89156 |
| Mailing Address |
6644 Jordan River Dr Las Vegas NV 89156-3745 |
| Practice Telephone | 7023060571 |
| Mailing Telephone | 7023060571 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
6644 JORDAN RIVER DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760908719 | Together We Stand Behavioral Health | Behavioral Analyst | 2110 N Los Feliz St #2072, Las Vegas, NV 89156 | 2017-08-21 |
| 1720356736 | Lucia Carol Matthew | Counselor | 730 N Eastern Avenue, Suite 110, Family Guidance and Wellness Network, Las Vegas, NV 89156 | 2011-12-05 |
| 1033410261 | Henry Sylvester Ebron IIi | Rehabilitation Practitioner | 2110 Los Feliz St, 2083, Las Vegas, NV 89156 | 2010-11-04 |
| 1801196878 | Regina Jackson | Rehabilitation Practitioner | 5254 Paradise Skies Avenue, Las Vegas, NV 89156 | 2010-10-25 |
| 1780830828 | Chris Elaine L Mariano | Registered Nurse | 1972 Napoleon Dr, Las Vegas, NV 89156 | 2008-08-08 |
| 1114320983 | A Omega Dental, LLC | Dentist | 6775 E Lake Mead Blvd, Ste # B9 & B10, Las Vegas, NV 89156 | 2014-10-07 |
| 1437404233 | Christina Maynard | Rehabilitation Practitioner | 2065 Scanlon Ferry Ct Unit 103, Las Vegas, NV 89156-0122 | 2012-07-17 |
| 1851769236 | Michael Spiegelhauer | Behavioral Analyst | 6168 Bluehill Ave Unit 2, Las Vegas, NV 89156-0204 | 2015-09-02 |
| 1760036032 | Mario Henderson | Technician | 5450 E. Lake Mead Blvd, Building D Apt. 225, Las Vegas, NV 89156-0908 | 2019-07-25 |
| 1114550860 | Cassandra L Smith | Technician | 1614 White Skies Ct, Las Vegas, NV 89156-0929 | 2020-02-20 |
| Find all providers in zip 89156 | ||||
| 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 |
|---|---|---|---|---|
| 1427659465 | Dr Therapy Mental Wellness Centers | Community Based Residential Treatment Facility, Mental Illness | 2915 W Charleston Blvd Ste 125, Las Vegas, NV 89102-1939 | 2020-11-05 |
| 1891395869 | Brighter Development Behavorial Health Services | Community Based Residential Treatment Facility, Mental Illness | 3228 Villa Fiori Avenue, Las Vegas, NV 89141 | 2020-10-29 |
| 1427692532 | 3r Holdings LLC | Community Based Residential Treatment Facility, Mental Illness | 2860 S Bronco St, Las Vegas, NV 89146-5208 | 2019-10-31 |
| 1265093934 | Synergy Health | Community Based Residential Treatment Facility, Mental Illness | 9472 Wakashan Ave, Las Vegas, NV 89149-0502 | 2019-06-24 |
| 1023676129 | Butterfly Wings LLC | Community Based Residential Treatment Facility, Mental Illness | 9445 Coral Berry St, Las Vegas, NV 89123-5832 | 2019-06-03 |
| 1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
| 1285191981 | A New Brighter Future | Community Based Residential Treatment Facility, Mental Illness | 50 N Honolulu St, Las Vegas, NV 89110-4301 | 2019-02-28 |
| 1912471814 | Latoya Rodgers | Community Based Residential Treatment Facility, Mental Illness | 1172 Warm Canyon Way, Las Vegas, NV 89123-3601 | 2019-01-14 |
| 1760959522 | Beehive Homes of Paradise Valley Inc | Community Based Residential Treatment Facility, Mental Illness | 3841 E Twain Ave, Las Vegas, NV 89121-4520 | 2018-10-30 |
| 1861985541 | Next Level Living LLC | Community Based Residential Treatment Facility, Mental Illness | 4051 W Viking Rd Ste 277, Las Vegas, NV 89103-6004 | 2018-06-07 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on MALAIKA TAMU HADLEY JAFFE.
| 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.