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

Wyatt Home LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1801739669

Wyatt Home LLC is a Mental Illness Community Based Residential Treatment Facility in Las Vegas, Nevada. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1113 Wyatt Ave
Las Vegas, NV 89106-2440
Phone: (702) 888-1312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1801739669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lc Dizon — Managing Member · (702) 569-6148
NPI enumeratedApril 14, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address1113 Wyatt Ave, Las Vegas, NV 89106-2440

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