HEART OF GWENDOLYN NPI 1578028916

NPI Information

NPI: 1578028916
Provider Name: HEART OF GWENDOLYN
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1881 W ALEXANDER RD UNIT 2088
NORTH LAS VEGAS, NV
ZIP 89032
Phone: (702) 428-4294
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HEART OF GWENDOLYN is a residential treatment facility, intellectual and/or developmental disabilities in North Las Vegas, NV. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. HEART OF GWENDOLYN NPI is 1578028916. The provider is registered as an organization entity type.

The provider's business location address is:

1881 W ALEXANDER RD UNIT 2088
NORTH LAS VEGAS, NV
ZIP 89032-049
Phone: (702) 428-4294

The provider's authorized official is Keylaunie Seals .
The authorized official title is Owner and has the following contact phone number (702) 428-4294.

The enumeration date for this NPI number is 2/8/2019 and was last updated on 2/8/2019.

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	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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

NPI Synchronization or Removal

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