SHANNON WEST HOMELESS YOUTH CENTER – Substance Abuse Rehabilitation Facility, NPI 1437594074

SHANNON WEST HOMELESS YOUTH CENTER is a healthcare provider. based in Las vegas, Nevada. specializing in Substance Abuse Rehabilitation Facility. The NPI Number for SHANNON WEST HOMELESS YOUTH CENTER is 1437594074

Main info

Organization
Name
SHANNON WEST HOMELESS YOUTH CENTER
NPI
1437594074
Phone
(702) 369-4357
Address
1640 E FLAMINGO RD
Authorized Official
TERRIE D'ANTONIO PRESIDENT/CHIEF EXECUTIVE OFFICER
Enumeration Date
9 May 2013
Last Update Date
11 September 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for SHANNON WEST HOMELESS YOUTH CENTER

  • 1640 E FLAMINGO RD

    #100

    LAS VEGAS, NV 891195249

    Phone: (702) 369-4357

    Fax: (702) 369-4089

    Type: Mailing

  • 314 FOREMASTER LN

    LAS VEGAS, NV 891011008

    Phone: (702) 385-3776

    Fax: (702) 836-2154

    Type: Location

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.

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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 89119)

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Reviews

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Frequently asked questions

Can I use this page to confirm SHANNON WEST HOMELESS YOUTH CENTER's NPI?
Yes. SHANNON WEST HOMELESS YOUTH CENTER is listed with NPI 1437594074 in the public NPI dataset.
Does CMS list SHANNON WEST HOMELESS YOUTH CENTER as active?
Yes — SHANNON WEST HOMELESS YOUTH CENTER is active in the NPI listing used on this page.
What is SHANNON WEST HOMELESS YOUTH CENTER's primary classification?
Substance Abuse Rehabilitation Facility is the headline specialty for SHANNON WEST HOMELESS YOUTH CENTER here. Clinical services aligned with this taxonomy classification.
Where should I expect SHANNON WEST HOMELESS YOUTH CENTER on a map?
Expect Las Vegas, Nevada as a primary anchor for SHANNON WEST HOMELESS YOUTH CENTER unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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