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NPI Code Detail

MEDICARE: LUX COMMUNITY SERVICES

MEDICARE: LUX COMMUNITY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency
2251E00000XHome Health Agency
3101YM0800XMental Health Counselor
4261QM0855XAdolescent and Children Mental Health Clinic/Center
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
6251C00000XDevelopmentally Disabled Services Day Training Agency
7251J00000XNursing Care Agency
8261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1083331177
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUX COMMUNITY SERVICES
Provider Business Mailing Address
First Line : 3405 FAYWOOD SPRINGS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-8815
Country : US
Telephone Number : 252-226-2001
Fax Number :
Provider Business Practice Location Address
First Line : 6295 HARRISON DR STE 4
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4057
Country : US
Telephone Number : 252-226-2001
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHAEL OLANDIS SCALES
Credential :
Telephone Number : 252-226-2001
Provider Enumeration Date : 10/20/2022
Last Update Date : 12/23/2025

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Directions to “LUX COMMUNITY SERVICES ” Practice Location

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