NPIMap

Organization Active NPI

Moriah Behavioral Health Co.

  • Psychiatric Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1912626433
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
MORIAH BEHAVIORAL HEALTH CO.
Practice address
3621 Bahama Bay CT
Las Vegas, NV 89147-6800
Phone
(725) 272-0330
NPI assigned
Aug 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Melissa Marshall
Title
Director, Billing & Collections
Phone
(570) 203-9222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

3621 Bahama Bay CT
Las Vegas, NV 89147-6800

Mailing address

512 Northampton St # 158
Edwardsville, PA 18704-4560
Phone (570) 203-9222

Other names 1

  • Ignite Teen Treatment - Bahama Bay Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lone Mesa9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1912626433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 NORTHAMPTON ST # 158",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044560",
            "telephone_number": "570-203-9222",
            "fax_number": "570-203-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 BAHAMA BAY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476800",
            "telephone_number": "725-272-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORIAH BEHAVIORAL HEALTH CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR, BILLING & COLLECTIONS",
        "authorized_official_telephone_number": "570-203-9222"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ignite Teen Treatment - Bahama Bay",
            "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 Mar 27, 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.