Cornell Jefferson
NPI 1396004263 · Mental Illness Community Based Residential Treatment Facility · Las Vegas, NV
Cornell Jefferson is a Mental Illness Community Based Residential Treatment Facility provider in Las Vegas, NV (NPI 1396004263).
Provider details
- NPI number
- 1396004263
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 320800000X (NV)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 320800000X (NV)
Residential Treatment Facilities
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
- 2012-05-11
- Last updated
- 2012-05-11
Frequently asked questions
- What is Cornell Jefferson's NPI number?
- Cornell Jefferson's National Provider Identifier (NPI) is 1396004263, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cornell Jefferson's specialty?
- Cornell Jefferson is listed in the NPPES registry with a primary specialty of Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Cornell Jefferson located?
- Cornell Jefferson's practice location on file with NPPES is 4915 E Russell Rd Apt 125, Las Vegas, NV 89120-2387.
- What is Cornell Jefferson's phone number?
- The practice phone number listed in the NPPES registry for Cornell Jefferson is (702) 788-0091.
- Is Cornell Jefferson's NPI active?
- Yes — Cornell Jefferson's NPI (1396004263) is active in the NPPES registry as of the last update on 2012-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.