Behavior Health Line LLC (NPI# 1841904794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1841904794 |
| Entity Type | Organization |
| Organization Name | BEHAVIOR HEALTH LINE LLC |
| Practice Address |
2110 E Flamingo Rd Ste 360 Las Vegas NV 89119-5190 |
| Practice Telephone | 7257249154 |
| Mailing Address |
1350 E Flamingo Rd Ste 13b251 Las Vegas NV 89119-5263 |
| Mailing Telephone | 7025881111 |
| Authorized Official Name | Mayzine Ayala (MANAGING MEMBER) |
| Authorized Official Telephone | 7025881111 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 320900000X | Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
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| 1093423980 | Paradise Park Place LLC | 3159 Desmond Ave, Las Vegas, NV 89121-5613 | 2022-11-09 | |
| 1265177083 | 5 Star Disability Services Lv LLC | 6376 Lonesome Lake St, Las Vegas, NV 89148-5771 | 2022-05-05 | |
| 1932862703 | Accessible Space Inc. | 3253 Hastings Ave, Las Vegas, NV 89107-4431 | 2021-10-19 | |
| 1710505946 | Accessible Space Inc. | 6375 W Charleston Blvd Bldg L, Las Vegas, NV 89146-1139 | 2020-07-14 | |
| 1508484734 | Accessible Space Inc. | 1405 South Mojave Rd, Las Vegas, NV 89104 | 2020-07-14 | |
| 1649898107 | Accessible Space Inc. | 4935 N Miller Ln, Las Vegas, NV 89149-5201 | 2020-07-10 | |
| 1285252742 | Accessible Space Inc. | 3209 Cedar St, Las Vegas, NV 89104-4472 | 2020-07-10 | |
| 1336763903 | 360 Medhp LLC | 2110 E Flamingo Rd Ste 360, Las Vegas, NV 89119-5190 | 2020-05-29 | |
| 1922664465 | Ray of Sunshine Adult Day Care LLC | 7720 W Sahara Ave Ste 104, Las Vegas, NV 89117-2754 | 2019-05-09 | |
| 1447766670 | Kaes Cube of Life LLC | 3909 S Maryland Pkwy Ste 305, Las Vegas, NV 89119-7520 | 2017-12-26 | |
| Find all providers in LAS VEGAS | ||||
| Street Address |
2110 E FLAMINGO RD STE 360 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763903 | 360 Medhp LLC | 2110 E Flamingo Rd Ste 360, Las Vegas, NV 89119-5190 | 2020-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407557192 | Mason Garza | 6725 S Eastern Ave Ste 1, Las Vegas, NV 891193949 | 2023-03-10 | |
| 1780385310 | Mariah Myles | 4000 S Eastern Ave Ste 240, Las Vegas, NV 891190847 | 2023-03-10 | |
| 1952001752 | Ananda Fcachenco | 1771 E Flamingo Rd Ste 220a, Las Vegas, NV 891190850 | 2023-03-09 | |
| 1194425900 | Shelby Baldwin | 1820 E Warm Springs Rd Ste 140, Las Vegas, NV 891194593 | 2023-03-09 | |
| 1922708981 | Dayana Yilian Vazquez Alonso | 1601 E Flamingo Rd, Las Vegas, NV 891195244 | 2023-03-08 | |
| 1851091813 | Yoandris Rodriguez Arzuaga | 1601 E Flamingo Rd, Las Vegas, NV 891195244 | 2023-03-08 | |
| 1548960446 | Danyalle Kahaeholookalani Chun | 770 E Warm Springs Rd Ste 220, Las Vegas, NV 891194347 | 2023-03-08 | |
| 1174223929 | Ami H Paul | 4000 S Eastern Ave Ste 240, Las Vegas, NV 891190847 | 2023-03-08 | |
| 1417657636 | Pauline Pleshette Jackson | 3909 S Maryland Pkwy Ste 314, Las Vegas, NV 891197520 | 2023-03-07 | |
| 1154021269 | Rosa Maria Najera Bojorquez | 1515 E Tropicana Ave Ste 305, Las Vegas, NV 891196519 | 2023-03-07 | |
| Find all providers in zip 89119 | ||||
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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.