360 Medhp LLC
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Address: 2110 E Flamingo Rd Ste 360, Las Vegas, NV 89119-5190
Phone: 7025594751

360 Medhp LLC (NPI# 1336763903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1336763903
Entity Type Organization
Organization Name 360 MEDHP LLC
Practice Address 2110 E Flamingo Rd Ste 360
Las Vegas
NV 89119-5190
Practice Telephone 7025594751
Mailing Address 2110 E Flamingo Rd Ste 360
Las Vegas
NV 89119-5190
Mailing Telephone 7025594751
Authorized Official Name Ms. Mayzine Ayala (MANAGING MEMBER)
Authorized Official Telephone 7029809624
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-05-29
Last Update Date 2020-05-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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Office Location

Street Address 2110 E FLAMINGO RD STE 360
City LAS VEGAS
State NV
Zip Code 89119-5190

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Competitor

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City LAS VEGAS
Zip Code 89119

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Dataset Information

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.