Charleston Residential Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHARLESTON RESIDENTIAL SERVICES LLC

Doing business as

CrossRoads of Southern Nevada

Practice address

2121 W Charleston Blvd
Las Vegas, NV 89102-2205

Phone

(702) 382-7746

NPI assigned

Mar 16, 2018

Last updated

Mar 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn MorssNPI 1700404837

Title

Chief Operating Officer

Phone

(702) 332-3228

Specialties & licenses 1

Addresses

Other names 1

• CrossRoads of Southern Nevada Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Charleston Residential Services LLC3 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.

• Charleston Residential Services LLC

  • Assisted Living Facility
  • Las Vegas, NV
  • NPI 1083167290
  NPD tax ID
• Charleston Residential Services LLC

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
  • NPI 1790253060
  NPD tax ID

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.

• Jennifer Lynn Morss

  • Health Educator
  • Henderson, NV
  • NPI 1700404837
  Authorized official Same address or phone

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1558864439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022205",
            "telephone_number": "702-382-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022205",
            "telephone_number": "702-382-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "MORSS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "702-332-3228"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CrossRoads of Southern Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charleston Chua MD (Chua Plastic Surgery)
• Charleston Chua MD Medical Spa PLLC
• Charleston Pediatric SNF LLC
• Charleston Residential Medicine LLC (CrossRoads Comprehensive Care)
• Charleston Residential Services LLC
• Charleston Residential Services LLC
• Araiya Delicia Ruth Charleston
• Charlie Y. Nahm, MD, PC (Desert Sunset Pain Consultants)
• Sabrina Charlie
• Cheryle Charlonne

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.