Healthcare Provider Details

I. General information

NPI: 1568070720
Provider Name (Legal Business Name): A DAY TO PREVAIL FAMILY ENHANCEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2020
Last Update Date: 07/14/2020
Certification Date: 07/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 VIA DELLA GRECA
HENDERSON NV
89011-1701
US

IV. Provider business mailing address

327 VIA DELLA GRECA
HENDERSON NV
89011-1701
US

V. Phone/Fax

Practice location:
  • Phone: 760-267-8948
  • Fax:
Mailing address:
  • Phone: 760-267-8948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: STACIE SKILLMAN
Title or Position: CHIEF EXECUTIVE OFFICE
Credential:
Phone: 760-267-8948