Provider Type Icon

CHARLESTON RESIDENTIAL SERVICES LLC NPI 1790253060


NPI Information

NPI: 1790253060
Provider Name: CHARLESTON RESIDENTIAL SERVICES LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2121 W CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89102
Phone: (702) 382-7746
Get Directions

CHARLESTON RESIDENTIAL SERVICES LLC is a substance abuse rehabilitation facility in Las Vegas, NV. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CHARLESTON RESIDENTIAL SERVICES LLC NPI is 1790253060. The provider is registered as an organization entity type.

The provider's business location address is:

2121 W CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89102-205
Phone: (702) 382-7746

The provider's authorized official is Jennifer Lynn Morss .
The authorized official title is Chief Operating Officer and has the following contact phone number (702) 332-3228.

The enumeration date for this NPI number is 11/5/2018 and was last updated on 11/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.