Organization Active NPI

Butterfly Wings LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1023676129
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BUTTERFLY WINGS LLC
Practice address
9445 Coral Berry St
Las Vegas, NV 89123-5832
Phone
(702) 544-8742
NPI assigned
Jun 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Authorized official

Name
Shanta NealNPI 1215595319
Title
Owner
Phone
(702) 544-8742

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
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

9445 Coral Berry St
Las Vegas, NV 89123-5832

Mailing address

9445 Coral Berry St
Las Vegas, NV 89123-5832
Phone (702) 544-8742

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL na Other

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": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1023676129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9445 CORAL BERRY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891235832",
            "telephone_number": "702-544-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 CORAL BERRY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891235832",
            "telephone_number": "702-544-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERFLY WINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "SHANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-544-8742"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "endpointDescription": "na",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "na",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "9445 Coral Berry St",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891235832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 3, 2019; 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.