Healthcare Provider Details

I. General information

NPI: 1154245876
Provider Name (Legal Business Name): COMMUNITY DEPLOYMENT PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5725 S VALLEY VIEW BLVD STE 5
LAS VEGAS NV
89118-3122
US

IV. Provider business mailing address

5725 S VALLEY VIEW BLVD STE 5
LAS VEGAS NV
89118-3122
US

V. Phone/Fax

Practice location:
  • Phone: 702-688-9382
  • Fax:
Mailing address:
  • Phone: 702-688-9382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHAWN HAMILTON
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 702-688-9382