Super Youth of Nevada
NPI 1174895890 · Rehabilitation Practitioner · Las Vegas, NV
Super Youth of Nevada is a Rehabilitation Practitioner organization in Las Vegas, NV (NPI 1174895890).
Provider details
- NPI number
- 1174895890
- Entity type
- Organization
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Demetrius Hunter, Manager(702) 748-1508
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2012-01-27
- Last updated
- 2012-04-11
Frequently asked questions
- What is Super Youth of Nevada's NPI number?
- Super Youth of Nevada's National Provider Identifier (NPI) is 1174895890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Super Youth of Nevada?
- Super Youth of Nevada is classified in the NPPES registry as Rehabilitation Practitioner (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Super Youth of Nevada located?
- Super Youth of Nevada's practice location on file with NPPES is 867 Worrell Ave, Las Vegas, NV 89123-3183.
- What is Super Youth of Nevada's phone number?
- The practice phone number listed in the NPPES registry for Super Youth of Nevada is (702) 748-1508.
- Who is the authorized official for Super Youth of Nevada?
- The authorized official listed on Super Youth of Nevada's NPPES record is Demetrius Hunter, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Super Youth of Nevada's NPI active?
- Yes — Super Youth of Nevada's NPI (1174895890) is active in the NPPES registry as of the last update on 2012-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.