PASSPORT TO INDEPENDENCE LLC NPI 1891220786

NPI Information

NPI: 1891220786
Provider Name: PASSPORT TO INDEPENDENCE LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
580 W CHEYENNE AVE STE 40
NORTH LAS VEGAS, NV
ZIP 89030
Phone: (702) 462-6692
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PASSPORT TO INDEPENDENCE LLC is a community based residential treatment facility mental illness in North Las Vegas, NV. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PASSPORT TO INDEPENDENCE LLC NPI is 1891220786. The provider is registered as an organization entity type.

The provider's business location address is:

580 W CHEYENNE AVE STE 40
NORTH LAS VEGAS, NV
ZIP 89030-978
Phone: (702) 462-6692

The provider's authorized official is Denise Coles .
The authorized official title is Manager and has the following contact phone number (702) 504-5020.

The enumeration date for this NPI number is 4/27/2017 and was last updated on 10/15/2019.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness				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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