Active NPI
Butterfly Wings LLC
- Mental Illness Community Based Residential Treatment Facility
- Las Vegas, NV
National Provider Identifier
1023676129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shanta Neal
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | na | Other |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1215595319
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.