Unknown Individual – Emotionally Disturbed Childrens' Residential Treatment Facility, NPI 1306024773

Unknown Individual is a healthcare provider. based in Las vegas, Nevada. specializing in Emotionally Disturbed Childrens' Residential Treatment Facility. They hold a License No. GF-403433-0002 (NV). The NPI Number for Unknown Individual is 1306024773

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306024773
Phone
(702) 656-0847
Address
8090 FLANAGAN DR
Deactivation Date
27 January 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 8090 FLANAGAN DR

    LAS VEGAS, NV 891310200

    Phone: (702) 656-0847

    Type: Location

  • 821, North Mojave Road, Las Vegas, Clark County, Nevada, 89101, United States

    LAS VEGAS, NV 891012407

    Phone: (702) 642-7070

    Fax: (702) 649-3906

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89131)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1306024773 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Emotionally Disturbed Childrens' Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Las Vegas, Nevada may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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