Organization Active NPI

Evans Health Services LLC

  • Mental Illness Community Based Residential Treatment Facility
  • North Las Vegas, NV
National Provider Identifier
1922526730
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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

Updated by the provider on Aug 31, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.