Provider Demographics
NPI:1649663931
Name:BETTER THOUGHTS TRANSITIONAL LIVE CORPORATION
Entity type:Organization
Organization Name:BETTER THOUGHTS TRANSITIONAL LIVE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RODNIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, CPH
Authorized Official - Phone:386-212-5088
Mailing Address - Street 1:3651 S. LINDELL RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-1102
Mailing Address - Country:US
Mailing Address - Phone:702-943-0300
Mailing Address - Fax:702-943-0233
Practice Address - Street 1:5052 S JONES BLVD STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-0567
Practice Address - Country:US
Practice Address - Phone:386-212-5088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETTER THOUGHTS TRANSITIONAL LIVE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-10
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Group - Multi-Specialty
No2081P0301XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationBrain Injury MedicineGroup - Multi-Specialty
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitationGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1649663931Medicaid
1649663931OtherBLUE CROSS BLUE SHIELD
1649663931OtherCIGNA