Levada House LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

NV20151522395 Issued in NV

Legal business name

LEVADA HOUSE LLC

Practice address

3905 Clear Acre LN Apt 27
Reno, NV 89512-1283

Phone

(775) 357-2623

NPI assigned

Sep 13, 2015

Organization subpart

No

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

Authorized official

Name

Ariell Olivia Dix

Title

Ceo

Phone

(775) 357-2623

Specialties & licenses 1

Addresses

Tax ID family

Levada House3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Levada House

  • Assistant Behavior Analyst
  • North Las Vegas, NV
  • NPI 1558801290
  NPD tax ID
• Levada House

  • Mental Illness Community Based Residential Treatment Facility
  • North Las Vegas, NV
  • NPI 1598204604
  NPD tax ID

Locations

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

{
    "created_epoch": "1442102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442102400000",
    "number": "1215305818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N MCCARRAN BLVD",
            "address_2": "BOX 204",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315278",
            "telephone_number": "775-357-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 CLEAR ACRE LN APT 27",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121283",
            "telephone_number": "775-357-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVADA HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-13",
        "last_updated": "2015-09-13",
        "status": "A",
        "authorized_official_last_name": "DIX",
        "authorized_official_first_name": "ARIELL",
        "authorized_official_middle_name": "OLIVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-357-2623"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NV",
            "license": "NV20151522395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Letras
• Michele Lett
• Staci Lynn Lett, CCP
• Mackenzie Leuenhagen, MA CCC-SLP
• Arthur S. Leung
• Levente Levai Jr., MD
• Theodore Jay Levatter, CADC
• Erin Sande Levenberg, MFTI
• Cheryl Ann Levenson, EDD
• Marvin Levenson, PHD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Reno, NV
• Providers in Reno, NV by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2015; 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.