Organization Active NPI

Deer Valley Assisted Living

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1205065869
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
DEER VALLEY ASSISTED LIVING
Practice address
8686 Giles Rd
Las Vegas, NV 89123-1127
Phone
(702) 287-7356
Fax
(702) 947-4168
NPI assigned
Jul 3, 2009
Organization subpart
Yes
Parent organization
DEER VALLEY RECOVERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Homer L Sims
Title
President/Founder
Phone
(702) 287-7356

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary
Case Management Agency 251B00000X NV
Developmentally Disabled Services Day Training Agency 251C00000X NV
Home Health Agency 251E00000X NV
Community/Behavioral Health Agency 251S00000X NV
Voluntary or Charitable Agency 251V00000X NV
Early Intervention Provider Agency 252Y00000X NV
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 2000216.960 NV

Addresses

Primary practice location

8686 Giles Rd
Las Vegas, NV 89123-1127

Mailing address

11102 Civita St
Las Vegas, NV 89141-0414
Phone (702) 287-7356

National Provider Directory

National Provider Directory
Part of
Deer Valley Assisted Living

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205065869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11102 CIVITA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891410414",
            "telephone_number": "702-287-7356",
            "fax_number": "702-947-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8686 GILES RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231127",
            "telephone_number": "702-287-7356",
            "fax_number": "702-947-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER VALLEY ASSISTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEER VALLEY RECOVERY",
        "enumeration_date": "2009-07-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "HOMER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "702-287-7356",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NV",
            "license": "2000216.960",
            "primary": false
        }
    ],
    "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 Jul 21, 2022; 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.