Transformation360

LBN: Transformation360
Transformation360 is an health care organization with primary practice located at 5025 Hostetler Ave , Las Vegas NV 89131-1981. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Transformation360 can be contacted via phone (702) 628-1223, or through Peterson, Alice Delia via phone (702) 628-1223.

Contact Information

Primary practice address
5025 Hostetler Ave Las Vegas NV 89131-1981
Phone: (702) 628-1223
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Alice Delia
Phone: (702) 628-1223

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1073026662
LBN Legal business name Transformation360
DBA Doing business as
Authorized official Peterson, Alice Delia
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2017
Last updated Nov 20th, 2017 - about 9 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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