Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spruce Oak Residential Care Facility

Organization Assisted Living Facility (Mental Illness) · NPI 1164825022

Spruce Oak Residential Care Facility is an Assisted Living Facility (Mental Illness) in North las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2014.

Licensed in
NV
In the registry since
2014

Practice location Address checks out

4618 Spruce Oak Dr
North las Vegas, NV 89031-0179
Phone: (702) 462-2031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X · Licence 5954AGC-10 (NV)

Record details

NPI number1164825022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa St Jean — Manager · (702) 235-9644
NPI enumeratedOctober 6, 2014
Last updated in NPPESNovember 25, 2014
Mailing address4618 Spruce Oak Dr, North Las Vegas, NV 89031-0179