Organization Active NPI

Community First Behavioral Health Service

Doing business as Liberty of Nevada LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1023606274
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY FIRST BEHAVIORAL HEALTH SERVICE
Doing business as
Liberty of Nevada LLC
Practice address
8235 Broward LN
Las Vegas, NV 89147-6129
Phone
(702) 265-7758
NPI assigned
Jan 4, 2021
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Elisheba Moore
Title
Managing Partner
Phone
(702) 265-7758

Specialties & licenses 1

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

Addresses

Primary practice location

8235 Broward LN
Las Vegas, NV 89147-6129

Mailing address

8235 Broward LN
Las Vegas, NV 89147-6129
Phone (702) 265-7758

Other names 1

  • Liberty of Nevada LLC Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1023606274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 BROWARD LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476129",
            "telephone_number": "702-265-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 BROWARD LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476129",
            "telephone_number": "702-265-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY FIRST BEHAVIORAL HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ELISHEBA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-265-7758"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty of Nevada LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 2021; 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.