Horizon Ridge Clinic LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HORIZON RIDGE CLINIC LLC

Practice address

1670 S Flamingo Rd Suite a
Las Vegas, NV 89119-6002

Phone

(702) 489-2889

Fax

(702) 780-0755

NPI assigned

Nov 25, 2019

Organization subpart

No

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

Authorized official

Name

Bruce Anthony Eddins

Title

Chief Administrator

Phone

(702) 489-2889

Specialties & licenses 3

Addresses

Other identifiers 2

Tax ID family

Horizon Ridge Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Horizon Ridge Clinic LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Las Vegas, NV
  • NPI 1376997627
  NPD tax ID

Locations

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1265078273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 S FLAMINGO RD SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196002",
            "telephone_number": "702-489-2889",
            "fax_number": "702-780-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 S FLAMINGO RD SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196002",
            "telephone_number": "702-489-2889",
            "fax_number": "702-780-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON RIDGE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "702-489-2889"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881003739",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376997627",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Horizon Hospice Care LLC
• Horizon Human Services
• Horizon Internal Medicine LLC
• Horizon Multispecialty Clinic Corp
• Horizon Plus Home Health, LLC.
• Horizon Ridge Clinic LLC
• Horizon Ridge Clinic LLC
• Horizon Ridge Wellness
• Horizon Wellness Center LLC
• Horizon Wellness Services

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.