Organization Active NPI

New Start at Second Chance LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1023431327
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW START AT SECOND CHANCE LLC
Practice address
1201 Jefferson Ave
Las Vegas, NV 89106-2833
Phone
(702) 809-5910
Fax
(702) 809-5910
NPI assigned
Jan 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clifford OsleyNPI 1568705143
Title
Director
Phone
(702) 528-3240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV Primary

Addresses

Primary practice location

1201 Jefferson Ave
Las Vegas, NV 89106-2833

Mailing address

1201 Jefferson Ave
Las Vegas, NV 89106-2833

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1023431327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 JEFFERSON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 JEFFERSON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062833",
            "telephone_number": "702-809-5910",
            "fax_number": "702-809-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW START AT SECOND CHANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "OSLEY",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-528-3240"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.