MEDICARE: NEVADA TRANSITIONAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	103TC0700X	Clinical Psychologist
3	1041C0700X	Clinical Social Worker
4	207Q00000X	Family Medicine Physician
5	261QM2500X	Medical Specialty Clinic/Center
6	343900000X	Non-emergency Medical Transport (VAN)
7	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1730833567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA TRANSITIONAL SERVICES

Provider Business Mailing Address
First Line	:	5717 RED ROOF ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2440
Country	:	US
Telephone Number	:	702-272-7041
Fax Number	:

Provider Business Practice Location Address
First Line	:	5717 RED ROOF ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2440
Country	:	US
Telephone Number	:	702-272-7041
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CORDELL D HARRIS
Credential	:
Telephone Number	:	725-735-0456

Provider Enumeration Date	:	02/10/2022
Last Update Date	:	02/10/2022

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Directions to “NEVADA TRANSITIONAL SERVICES ” Practice Location

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