MEDICARE: BETTER THOUGHTS TRANSITIONAL LIVE CORPORATION

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	320800000X	Mental Illness Community Based Residential Treatment Facility
2	320700000X	Physical Disabilities Residential Treatment Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568135309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER THOUGHTS TRANSITIONAL LIVE CORPORATION

Provider Business Mailing Address
First Line	:	5052 S JONES BLVD STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-0567
Country	:	US
Telephone Number	:	702-444-0375
Fax Number	:

Provider Business Practice Location Address
First Line	:	9578 BIG MAN ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-7603
Country	:	US
Telephone Number	:	702-331-0067
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	RODNIQUE STOKES
Credential	:
Telephone Number	:	702-986-1343

Provider Enumeration Date	:	07/28/2021
Last Update Date	:	06/28/2022

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