NPIMap

Organization Active NPI

Horizon Ridge Clinic LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1376997627
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HORIZON RIDGE CLINIC LLC
Practice address
1670 S Flamingo Rd Suite a
Las Vegas, NV 89119-5120
Phone
(702) 489-2889
Fax
(702) 780-0755
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Bruce A Eddins, MA
Title
Ceo
Phone
(702) 489-2889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1670 S Flamingo Rd Suite a
Las Vegas, NV 89119-5120

Mailing address

1670 E Flamingo Rd Ste a
Las Vegas, NV 89119-5120
Phone (702) 489-2889

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1376997627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 E FLAMINGO RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195120",
            "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": "891195120",
            "telephone_number": "702-489-2889",
            "fax_number": "702-780-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON RIDGE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-489-2889",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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 Oct 29, 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.