Active NPI
Evans Health Services LLC
- Mental Illness Community Based Residential Treatment Facility
- North Las Vegas, NV
National Provider Identifier
1922526730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- EVANS HEALTH SERVICES LLC
- Practice address
- 4124 Greenbridge St
North Las Vegas, NV 89032-6126 - Phone
- (661) 376-5736
- NPI assigned
- Aug 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniella Dillingham
- Title
- Owner
- Phone
- (661) 376-5736
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
4124 Greenbridge St
North Las Vegas, NV 89032-6126
Mailing address
4124 Greenbridge St
North Las Vegas, NV 89032-6126
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1504137600000",
"number": "1922526730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4124 GREENBRIDGE ST",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890326126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4124 GREENBRIDGE ST",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890326126",
"telephone_number": "661-376-5736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVANS HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-31",
"last_updated": "2017-08-31",
"status": "A",
"authorized_official_last_name": "DILLINGHAM",
"authorized_official_first_name": "DANIELLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "661-376-5736"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.