Organization Active NPI

Supported Living Solutions

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Las Vegas, NV
National Provider Identifier
1053202291
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
SUPPORTED LIVING SOLUTIONS
Practice address
6320 McLeod Dr Ste 7
Las Vegas, NV 89120-4427
Phone
(626) 848-5990
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Friedman, QIDP
Title
Director
Phone
(626) 848-5990

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X
Day Training/Habilitation SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 373H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

6320 McLeod Dr Ste 7
Las Vegas, NV 89120-4427

Mailing address

7380 S Eastern Ave Ste 124
Las Vegas, NV 89123-1502
Phone (626) 848-5990

National Provider Directory

National Provider Directory

Locations

7380 S Eastern Ave
Ste 124
Las Vegas, NV 89123
Phone (541) 401-4013

6320 McLeod Dr
Ste 7
Las Vegas, NV 89120
Phone (626) 848-5990

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1053202291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 S EASTERN AVE STE 124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231502",
            "telephone_number": "626-848-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 MCLEOD DR STE 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204427",
            "telephone_number": "626-848-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTED LIVING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-848-5990",
        "authorized_official_credential": "QIDP"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.