NPIMap

Organization Active NPI

Bluecove Homes LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1053792879
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
20140769237-41 Issued in NV
Legal business name
BLUECOVE HOMES LLC
Practice address
9535 Scottville CT
Las Vegas, NV 89148-4621
Phone
(702) 834-4307
Fax
(702) 485-4437
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Ms. Stacey Suzanne Payne, CADC
Title
Founder/Owner
Phone
(702) 834-4307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 20140769237-41 NV Primary

Addresses

Primary practice location

9535 Scottville CT
Las Vegas, NV 89148-4621

Mailing address

9535 Scottville CT
Las Vegas, NV 89148-4621
Phone (702) 834-4307

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1053792879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 SCOTTVILLE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484621",
            "telephone_number": "702-834-4307",
            "fax_number": "702-485-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 SCOTTVILLE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484621",
            "telephone_number": "702-834-4307",
            "fax_number": "702-485-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUECOVE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "702-834-4307",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "20140769237-41",
            "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 Jun 17, 2015; 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.