Maple Star Nevada

LBN: Maple Star Nevada
Maple Star Nevada is an health care organization with primary practice located at 1050 E Flamingo Rd Ste S-107, Las Vegas NV 89119. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Maple Star Nevada can be contacted via phone (702) 733-8098, or through Maj, Melissa via phone (702) 733-8098.

Contact Information

Primary practice address
1050 E Flamingo Rd Ste S-107 Las Vegas NV 89119
Phone: (702) 733-8098
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maj, Melissa MC
Phone: (702) 733-8098

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1215079918
LBN Legal business name Maple Star Nevada
DBA Doing business as
Authorized official Maj, Melissa MC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Oct 30th, 2014 - about 10 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 1215079918 NPPES
Nevada MEDICAID 100508094

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