OrganizationActive
Passport to Independence LLC
NPI 1891220786 · Mental Illness Community Based Residential Treatment Facility · North Las Vegas, NV
Provider details
- NPI number
- 1891220786
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Denise Coles, Manager(702) 504-5020
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
580 W Cheyenne Ave Ste 40
North Las Vegas, NV 89030-3978
Phone: (702) 462-6692
Street-level locationGet directions
Mailing address
580 W Cheyenne Ave Ste 40
North Las Vegas, NV 89030-3978
Registry dates
- Enumerated
- 2017-04-27
- Last updated
- 2019-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.