Provider Demographics
NPI:1710594437
Name:ONE FOR ALL NV
Entity Type:Organization
Organization Name:ONE FOR ALL NV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:TINNIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-214-4289
Mailing Address - Street 1:3440 E RUSSELL RD STE 212
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-2201
Mailing Address - Country:US
Mailing Address - Phone:702-214-4216
Mailing Address - Fax:702-214-4216
Practice Address - Street 1:3440 E RUSSELL RD STE 212
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-2201
Practice Address - Country:US
Practice Address - Phone:702-214-4216
Practice Address - Fax:702-214-4216
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONE FOR ALL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-27
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness