Supreme Behavioral Health Services L.L.C.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SUPREME BEHAVIORAL HEALTH SERVICES L.L.C.

Practice address

875 E Silverado Ranch Blvd BLDG 65
Las Vegas, NV 89183-5887

Phone

(818) 797-8664

NPI assigned

Jul 20, 2023

Last updated

Aug 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua CribbsNPI 1851071203

Title

Owner

Phone

(818) 797-8664

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, and the practitioner matching its NPPES authorized official.

• Joshua J Cribbs

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1851071203
  NPD Authorized official

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1912687369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 E SILVERADO RANCH BLVD BLDG 65",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835887",
            "telephone_number": "818-797-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 E SILVERADO RANCH BLVD BLDG 65",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835887",
            "telephone_number": "818-797-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME BEHAVIORAL HEALTH SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "CRIBBS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-797-8664"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 11, 2023; 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.