Active NPI
SBH - Montevista LLC
- Psychiatric Hospital
- Las Vegas, NV
National Provider Identifier
1700895299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- SBH - MONTEVISTA LLC
- Practice address
- 5900 W Rochelle Ave
Las Vegas, NV 89103-3304 - Phone
- (702) 364-1111
- Fax
- (702) 251-1212
- NPI assigned
- Aug 5, 2006
- 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
- Mr. James Cagle
- Title
- Cfo
- Phone
- (901) 969-3114
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric Hospital | 283Q00000X | Primary | ||
| Rehabilitation Hospital | 283X00000X |
Addresses
Primary practice location
5900 W Rochelle Ave
Las Vegas, NV 89103-3304
Mailing address
5900 W Rochelle Ave
Las Vegas, NV 89103-3304
Phone (702) 364-1111
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 880299907001 | Other | NV | CHAMPUS |
| NV2965 | Other | NV | BLUE CROSS |
| 100508929 | Medicaid | NV | |
| 100508930 | Medicaid | NV | |
| 001302890 | Medicaid | NV |
Other names 1
- Montevist Hospital
National Provider Directory
National Provider Directory- Tax ID family
- BHC Montevista Hospital Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Residential Treatment Facility
- Las Vegas, NV
- NPI 1427465400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621468800000",
"number": "1700895299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 W ROCHELLE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891033304",
"telephone_number": "702-364-1111",
"fax_number": "702-251-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 W ROCHELLE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891033304",
"telephone_number": "702-364-1111",
"fax_number": "702-251-1212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SBH - MONTEVISTA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A",
"authorized_official_last_name": "CAGLE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "901-969-3114",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
},
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "880299907001",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "NV2965",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100508929",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100508930",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001302890",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Montevist Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Montevist Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.