CMS-1500 Box 24J / 33a • NPI
1689800013
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
3245S0500X
Licensed & Credentialed Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children
Box 32 Service Location & ZIP+4
104 BIG BEND RANCH ROAD, WADSWORTH, NV, 89442
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1689800013 (DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1689800013 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH |
| Plain-English Specialty | Licensed & Credentialed Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children NUCC Code: 3245S0500X (Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 104 BIG BEND RANCH ROAD, WADSWORTH, NV, 89442 |
| Practice Telephone / Fax | Tel: (775) 352-6840 | Fax: (775) 575-3180 |
| Administrative Mailing Address | PO BOX 280, WADSWORTH, NV, 89442 |
| Enumeration & Last Sync | Enumerated: 2009-05-29 | CMS Record Updated: 2012-10-31 |
| Authorized Official | HOLLY ELLIOTT (Chief Executive Officer) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (3245S0500X)
What Does Taxonomy Code 3245S0500X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3245S0500X translates to:
"Licensed & Credentialed Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
324500000X — Substance Abuse Rehabilitation FacilityPlain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility | State: NV | License: n/a | Primary: Secondary |
3245S0500X — Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, ChildrenPlain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | State: NV | License: n/a | Primary: Secondary |
3245S0500X — Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, ChildrenPlain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | State: N/A | License: 275789 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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