CREST HEALTHCARE INC. NPI 1306451711

NPI Information

NPI: 1306451711
Provider Name: CREST HEALTHCARE INC.

Former Legal Business Name: CREST HEALTHCARE INC.

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3275 S JONES BLVD STE 106
LAS VEGAS, NV
ZIP 89146
Phone: (702) 589-3095
Get Directions

CREST HEALTHCARE INC. is a mental health (including community mental health center) clinic center in Las Vegas, NV. CREST HEALTHCARE INC. NPI is 1306451711. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Crest Healthcare Inc..

The provider's business location address is:

3275 S JONES BLVD STE 106
LAS VEGAS, NV
ZIP 89146-768
Phone: (702) 589-3095

The provider's authorized official is Heyward Jackson .
The authorized official title is Director and has the following contact phone number (702) 589-3095.

The enumeration date for this NPI number is 9/11/2020 and was last updated on 3/5/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
7	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1033555958	MEDICAID	NEVADA

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: 4/28/2024

NPI Synchronization or Removal

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