Horizon Ridge Clinic LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HORIZON RIDGE CLINIC LLC

Practice address

1670 E Flamingo Rd Ste a
Las Vegas, NV 89119-5120

Phone

(702) 489-2889

Fax

(702) 780-0755

NPI assigned

Aug 5, 2014

Organization subpart

No

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

Authorized official

Name

Bruce Eddins, MANPI 1841347275

Title

Chief Administrator

Phone

(702) 489-2889

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Vann-Eddins Consulting Doing business as

Locations

Practitioners 3

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

• Bruce Anthony Eddins, MA

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
  • NPI 1841347275

  Case Management

  NPD (past) Authorized official
• Derrick Carroll

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1982083598
  NPD (past)
• Melissa Molenda

  • Counselor
  • Las Vegas, NV
  • NPI 1962885962
  NPD (past)

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1881003739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 E FLAMINGO RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195120",
            "telephone_number": "702-489-2889",
            "fax_number": "702-780-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 E FLAMINGO RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195120",
            "telephone_number": "702-489-2889",
            "fax_number": "702-780-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON RIDGE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "702-489-2889",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250004428",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vann-Eddins Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Horizon Internal Medicine LLC
• Horizon Multispecialty Clinic Corp
• Horizon Plus Home Health, LLC.
• Horizon Ridge Clinic LLC
• Horizon Ridge Clinic LLC
• Horizon Ridge Wellness
• Horizon Wellness Center LLC
• Horizon Wellness Services
• Ashley Louise Hormell
• Hormonemd LLC

• 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 Feb 12, 2024; 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.