MEDICARE: SELF SUFFICIENCY COMMUNITY-BASED LIVING ARRANGEMENTS LLC

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
1	323P00000X	Psychiatric Residential Treatment Facility

General Provider Information

NPI Number	:	1295682375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELF SUFFICIENCY COMMUNITY-BASED LIVING ARRANGEMENTS LLC

Provider Business Mailing Address
First Line	:	3965 E OWENS AVE STE 180
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-7034
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2506 CRAWFORD ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6186
Country	:	US
Telephone Number	:	702-704-9463
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. FRANKLYN LEE MORRIS JR.
Credential	:	LCSW
Telephone Number	:	702-704-9463

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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