Spruce Oak Residential Care Facility
NPI 1164825022 · Assisted Living Facility (Mental Illness) · North Las Vegas, NV
Spruce Oak Residential Care Facility is a Assisted Living Facility (Mental Illness) organization in North Las Vegas, NV (NPI 1164825022).
Provider details
- NPI number
- 1164825022
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa St Jean, Manager(702) 235-9644
- License
- 5954AGC-10 (NV)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-10-06
- Last updated
- 2014-11-25
Frequently asked questions
- What is Spruce Oak Residential Care Facility's NPI number?
- Spruce Oak Residential Care Facility's National Provider Identifier (NPI) is 1164825022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spruce Oak Residential Care Facility?
- Spruce Oak Residential Care Facility is classified in the NPPES registry as Assisted Living Facility (Mental Illness) (Nursing & Custodial Care Facilities).
- Where is Spruce Oak Residential Care Facility located?
- Spruce Oak Residential Care Facility's practice location on file with NPPES is 4618 Spruce Oak Dr, North Las Vegas, NV 89031-0179.
- What is Spruce Oak Residential Care Facility's phone number?
- The practice phone number listed in the NPPES registry for Spruce Oak Residential Care Facility is (702) 462-2031.
- Who is the authorized official for Spruce Oak Residential Care Facility?
- The authorized official listed on Spruce Oak Residential Care Facility's NPPES record is Melissa St Jean, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spruce Oak Residential Care Facility's NPI active?
- Yes — Spruce Oak Residential Care Facility's NPI (1164825022) is active in the NPPES registry as of the last update on 2014-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.