Organization Active NPI

SBH - Montevista LLC

  • Psychiatric Hospital
  • Las Vegas, NV
National Provider Identifier
1700895299
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
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

Updated by the provider on May 20, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
880299907001OtherNVCHAMPUS
NV2965OtherNVBLUE CROSS
100508929MedicaidNV
100508930MedicaidNV
001302890MedicaidNV

Other names 1

  • Montevist Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BHC Montevista Hospital Inc2 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.

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.

Verify at the official NPI Registry.