Paradise Ranch, Llc

LBN: Paradise Ranch, Llc
Paradise Ranch, Llc is an health care organization with primary practice located at 1722 Primrose Path , Las Vegas NV 89108-1918. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Paradise Ranch, Llc can be contacted via phone (702) 515-7117, or through Rogers, Paul Donald via phone (702) 515-7117.

Contact Information

Primary practice address
1722 Primrose Path Las Vegas NV 89108-1918
Phone: (702) 515-7117
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Paul Donald
Phone: (702) 515-7117

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1104162155
LBN Legal business name Paradise Ranch, Llc
DBA Doing business as
Authorized official Rogers, Paul Donald
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2012
Last updated Dec 19th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104162155 NPPES
Nevada MEDICAID 1447519095

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