Active NPI
Paradigm Shift Health Services
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Las Vegas, NV
National Provider Identifier
1447729694
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- PARADIGM SHIFT HEALTH SERVICES
- Practice address
- 102 Gilliflower Ave
Las Vegas, NV 89183-5566 - Phone
- (702) 931-6781
- NPI assigned
- Nov 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya McClearin
- Title
- Owner
- Phone
- (702) 931-6781
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
102 Gilliflower Ave
Las Vegas, NV 89183-5566
Mailing address
102 Gilliflower Ave
Las Vegas, NV 89183-5566
Phone (702) 931-6781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542326400000",
"number": "1447729694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 GILLIFLOWER AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891835566",
"telephone_number": "702-931-6781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 GILLIFLOWER AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891835566",
"telephone_number": "702-931-6781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADIGM SHIFT HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A",
"authorized_official_last_name": "MCCLEARIN",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-931-6781"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"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 Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.