Active NPI
Deer Valley Assisted Living
- Rehabilitation Practitioner
- Las Vegas, NV
National Provider Identifier
1205065869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- 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 RECOVERY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 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.
-
- Rehabilitation Practitioner
- Las Vegas, NV
- NPI 1801183066
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.