Provider Demographics
NPI:1689075780
Name:HELPING CRUSADERS
Entity Type:Organization
Organization Name:HELPING CRUSADERS
Other - Org Name:KENNETH SMITH
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-601-5888
Mailing Address - Street 1:5388 FLOWING SPRING ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89122-7677
Mailing Address - Country:US
Mailing Address - Phone:702-601-5888
Mailing Address - Fax:702-803-0033
Practice Address - Street 1:5388 FLOWING SPRING ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89122-7677
Practice Address - Country:US
Practice Address - Phone:702-601-5888
Practice Address - Fax:702-803-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities