OrganizationActive
Ida'S House
NPI 1831587906 · Exclusive Provider Organization · North Las Vegas, NV
Provider details
- NPI number
- 1831587906
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Connie Glenn, Ceo(702) 612-6787
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(74/100 index)
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
4022 Allyson Rae St
North Las Vegas, NV 89032-0258
Phone: (702) 612-6787
Street-level locationGet directions
Mailing address
8665 W Flamingo Rd
Las Vegas, NV 89147-8621
Registry dates
- Enumerated
- 2014-12-24
- Last updated
- 2014-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.