Levada House

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

NV20151522395 Issued in NV

Legal business name

LEVADA HOUSE

Practice address

3365 W Craig Rd
Ste # 9
North Las Vegas, NV 89032-5112

Phone

(702) 247-4535

Fax

(702) 247-4535

NPI assigned

Feb 22, 2017

Organization subpart

No

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

Authorized official

Name

Ariell Dix

Title

Owber

Phone

(702) 247-4535

Specialties & licenses 1

Addresses

Tax ID family

Levada House3 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.

• Levada House

  • Assistant Behavior Analyst
  • North Las Vegas, NV
  • NPI 1558801290
  NPD tax ID
• Levada House LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Reno, NV
  • NPI 1215305818
  NPD tax ID

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1598204604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 COLEMAN ST",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890313820",
            "telephone_number": "928-529-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 W CRAIG RD",
            "address_2": "STE # 9",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325112",
            "telephone_number": "702-247-4535",
            "fax_number": "702-247-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVADA HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "DIX",
        "authorized_official_first_name": "ARIELL",
        "authorized_official_title_or_position": "OWBER",
        "authorized_official_telephone_number": "702-247-4535"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": "NV20151522395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jean Lesher, LMSW
• Tashika Lesure
• Kayla Letherwood
• Jennifer Letten
• Levada House
• Micol Levi-Minzi, PSY.D.
• Lewin Physical Therapy & Performance
• Toni T Lewis Ellis
• Angel Lewis
• Angela Chloe Lewis, CPC-I, PH.D.

• Mental Illness Community Based Residential Treatment Facility in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Mental Illness Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.