Provider Demographics
NPI:1174166771
Name:ONE FOR ALL LLC
Entity type:Organization
Organization Name:ONE FOR ALL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF A OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:TINNIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:QMHA
Authorized Official - Phone:702-214-4289
Mailing Address - Street 1:3440 E RUSSELL RD # 211
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:702-214-4289
Mailing Address - Fax:702-214-4200
Practice Address - Street 1:3440 E RUSSELL RD # 211
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:702-214-4289
Practice Address - Fax:702-214-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-26
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No253J00000XAgenciesFoster Care Agency
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
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
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities