FAITH IMPACT CENTER LLC (NPI# 1093304842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093304842 |
| Entity Type | Organization |
| Organization Name | FAITH IMPACT CENTER LLC |
| Practice Address | 7055 E Lake Mead Blvd Apt 2129 Las Vegas NV 89156-1118 |
| Practice Telephone | 7257350469 |
| Mailing Address | 7055 E Lake Mead Blvd Apt 2129 Las Vegas NV 89156-1118 |
| Mailing Telephone | 7257350469 |
| Certification Date | 2021-01-15 |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |
| Authorized Official Telephone | 7257350469 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address | 7055 E LAKE MEAD BLVD APT 2129 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89156-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811478712 | Malaika Tamu Hadley Jaffe | Community Based Residential Treatment Facility, Mental Illness | 6644 Jordan River Dr, Las Vegas, NV 89156 | 2018-08-28 |
| 1760908719 | Together We Stand Behavioral Health | Behavior Analyst | 2110 N Los Feliz St #2072, Las Vegas, NV 89156 | 2017-08-21 |
| 1720356736 | Lucia Carol Matthew | Counselor · Mental Health | 730 N Eastern Avenue, Suite 110, Family Guidance and Wellness Network, Las Vegas, NV 89156 | 2011-12-05 |
| 1033410261 | Henry Sylvester Ebron IIi | Rehabilitation Practitioner | 2110 Los Feliz St, 2083, Las Vegas, NV 89156 | 2010-11-04 |
| 1801196878 | Regina Jackson · Regina Jackson-Christopher | Rehabilitation Practitioner | 5254 Paradise Skies Avenue, Las Vegas, NV 89156 | 2010-10-25 |
| 1780830828 | Chris Elaine L Mariano | Registered Nurse | 1972 Napoleon Dr, Las Vegas, NV 89156 | 2008-08-08 |
| 1114320983 | A Omega Dental, LLC | Dentist · General Practice | 6775 E Lake Mead Blvd, Ste # B9 & B10, Las Vegas, NV 89156 | 2014-10-07 |
| 1437404233 | Christina Maynard | Rehabilitation Practitioner | 2065 Scanlon Ferry Ct Unit 103, Las Vegas, NV 89156-0122 | 2012-07-17 |
| 1851769236 | Michael Spiegelhauer | Behavior Analyst | 6168 Bluehill Ave Unit 2, Las Vegas, NV 89156-0204 | 2015-09-02 |
| 1760036032 | Mario Henderson | Technician · Personal Care Attendant | 5450 E. Lake Mead Blvd, Building D Apt. 225, Las Vegas, NV 89156-0908 | 2019-07-25 |
| Find all providers in zip 89156 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982295572 | It's Our Time Behavioral Health Services | 7465 W Lake Mead Blvd Ste 114, Las Vegas, NV 89128-1032 | 2021-01-27 | |
| 1821688870 | Nevada Pediatric Therapy | 6153 Meadow Vista Ln, Las Vegas, NV 89103-1170 | 2021-01-23 | |
| 1174112346 | Unlimited Possibilities | 5504 Big Sky Ln, Las Vegas, NV 89149-6630 | 2021-01-13 | |
| 1689262453 | Lacuna Autism Services LLC | 3651 Lindell Rd Ste D578, Las Vegas, NV 89103-1254 | 2021-01-06 | |
| 1811583461 | Bernadette Basilio | 14050 Kyle Canyon Road, Las Vegas, NV 89166 | 2020-12-17 | |
| 1194311134 | Jerome Powell-Pollard | 8329 Fawn Meadow Ave, Las Vegas, NV 89149-4513 | 2020-12-14 | |
| 1760078802 | Elevating To New Heights LLC | 3145 E Flamingo Rd Apt 1124, Las Vegas, NV 89121-4357 | 2020-12-14 | |
| 1164028437 | Glam D By Sisters | 3242 E Desert Inn Rd Ste 13, Las Vegas, NV 89121-3337 | 2020-12-10 | |
| 1164028809 | Jaden Collins | 3651 N Rancho Dr Apt 215, Las Vegas, NV 89130-3134 | 2020-12-08 | |
| 1386249910 | Mount Pleasant Services LLC | 2350 S Jones Blvd Unit 224, Las Vegas, NV 89146-3103 | 2020-12-01 | |
| Find all providers in LAS VEGAS | ||||
| City | LAS VEGAS |
| Zip Code | 89156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114024213 | Faith Countryside Homes · Faith Care Center | Skilled Nursing Facility | 100 Faith Dr, Highland, IL 62249-2638 | 2006-09-20 |
| 1457417131 | Impact Physical Medicine and Aquatic Center · Impact Physical Medicine | Clinic/Center · Physical Therapy | 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | 2006-12-28 |
| 1124537246 | Impact Healthcare, P.a. · Impact Primary and Urgent Care | Family Medicine | 315 Franklin Plz, Louisburg, NC 27549-2765 | 2017-09-20 |
| 1528499498 | Impact Dui, Ilc · Right Turn Impact | Community/Behavioral Health | 1209 Liberty Rd Unit 102, Eldersburg, MD 21784-7980 | 2013-12-03 |
| 1609321843 | My Empowering Impact · Me Impact | Social Worker · Clinical | 5001 Harford Rd, Suit D, Baltimore, MD 21214-2970 | 2016-08-17 |
| 1255519799 | Impact Prosthetic Solutions, LLC · Impact Orthopedics | Prosthetic/Orthotic Supplier | 3210 Prosperity Church Rd Ste 101, Charlotte, NC 28269-8194 | 2008-02-06 |
| 1972097657 | Impact Rehab Consultants · Impact Rehabilitation and Wellness | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1053493684 | Palmetto Faith Operating LLC · Faith Healthcare Center | Skilled Nursing Facility | 617 W Marion St, Florence, SC 29501-2421 | 2006-10-20 |
| 1740594217 | Faith Health Center · Faith Healthcenter | Family Medicine | 655 Lexington Ave, Jackson, TN 38301-5075 | 2010-07-27 |
| 1902416993 | Faith Care Center, Inc. · Faith Care Center Inc. | Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3800 Inverrary Blvd Ste 408d, Lauderhill, FL 33319-4359 | 2020-08-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.