Wyatt Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

WYATT HOME LLC

Practice address

1113 Wyatt Ave
Las Vegas, NV 89106-2440

Phone

(702) 888-1312

NPI assigned

Apr 14, 2026

Organization subpart

No

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

Authorized official

Name

LC Dizon

Title

Managing Member

Phone

(702) 569-6148

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jarell Price

  • Developmental Therapist
  • Las Vegas, NV
  • NPI 1851282610
  NPD

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1801739669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 WYATT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 WYATT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062440",
            "telephone_number": "702-888-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "LC",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-569-6148"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WWB Incorporated
• WWB Incorporated
• WWB Incorporated
• WWB Incorporated
• Jill Wyant, AUD
• Elihu Daniel Wyatt IV, AGACNP
• Jeremy Wyatt
• Lydia Claire Wyatt, DDS
• Sonia Wyatt
• Tiara Lynn Wyatt

• Mental Illness Community Based Residential Treatment Facility in Las Vegas, NV
• Providers in 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 Apr 14, 2026; 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.