Healthcare Provider Details

I. General information

NPI: 1134636715
Provider Name (Legal Business Name): ABANDONED BABIES CHRISTIAN MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 01/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 E RUSSELL RD
LAS VEGAS NV
89120-2426
US

IV. Provider business mailing address

1350 E FLAMINGO RD # 3219
LAS VEGAS NV
89119-5263
US

V. Phone/Fax

Practice location:
  • Phone: 702-205-9035
  • Fax:
Mailing address:
  • Phone: 702-205-9035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License NumberNV20031324453
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License NumberNV20031324453
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberNV20031324453
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberNV20031324453
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberNV20031324453
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberNV20031324453
License Number StateNV
# 7
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License NumberNV20031324453
License Number StateNV
# 8
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License NumberNV20031324453
License Number StateNV
# 9
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License NumberNV20031324453
License Number StateNV
# 10
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License NumberNV20031324453
License Number StateNV
# 11
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberNV20031324453
License Number StateNV
# 12
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License NumberNV20031324453
License Number StateNV
# 13
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License NumberNV20031324453
License Number StateNV
# 14
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberNV20031324453
License Number StateNV
# 15
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberNV20031324453
License Number StateNV

VIII. Authorized Official

Name: SIMONE BARBIN
Title or Position: PRESIDENT & FOUNDER
Credential:
Phone: 702-205-9035