Organization Active NPI

Robert Lynn Horne MD LTD

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1558544841
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
5311 Issued in NV
Legal business name
ROBERT LYNN HORNE MD LTD
Practice address
3017 W Charleston Blvd Ste 70
Las Vegas, NV 89102-1928
Phone
(702) 822-1188
Fax
(702) 822-2020
NPI assigned
Dec 10, 2007
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Dr. Robert Lynn Horne, MD LTDNPI 1104994045
Title
Owner
Phone
(702) 822-1188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 5311 NV Primary

Addresses

Primary practice location

3017 W Charleston Blvd Ste 70
Las Vegas, NV 89102-1928

Mailing address

840 S Rancho Dr Ste 4-244
Las Vegas, NV 89106-3837
Phone (702) 301-2555

Other identifiers 1

IdentifierTypeStateIssuer
002002776MedicaidNV

Other names 1

  • Robert Lynn Horne, MN LTD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050204000120 NV Part B Supplier - Clinic/Group Practice 4981655149 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
Robert Lynn Horne MD LTD2 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.

Locations

2915 W Charleston Blvd
Ste 190
Las Vegas, NV 89102
Phone (310) 933-4590

840 S Rancho Dr
Ste 4244
Las Vegas, NV 89106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1558544841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR STE 4-244",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-301-2555",
            "fax_number": "702-822-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 W CHARLESTON BLVD STE 70",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021928",
            "telephone_number": "702-822-1188",
            "fax_number": "702-822-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LYNN HORNE MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2024-03-20",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-822-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD LTD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NV",
            "license": "5311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002776",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Lynn Horne, MN LTD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Robert Lynn Horne, MN LTD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.