NPIMap

Organization Active NPI

Mingo Health Solutions

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1063056984
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINGO HEALTH SOLUTIONS
Practice address
4000 S Eastern Ave Ste 240
Las Vegas, NV 89119-0847
Phone
(702) 848-1696
NPI assigned
Nov 4, 2019
Organization subpart
Yes
Parent organization
MINGO HEALTH SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Dinisha Gray-Mingo
Title
Ceo/Director
Phone
(702) 556-2634

Specialties & licenses 1

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

Addresses

Primary practice location

4000 S Eastern Ave Ste 240
Las Vegas, NV 89119-0847

Mailing address

2715 E Russell Rd
Las Vegas, NV 89120-2426
Phone (702) 556-2634

Other practice location 1

525 N Cascade Ave Ste 115
Colorado Springs, CO 80903-3308
Phone (702) 848-1696

National Provider Directory

National Provider Directory
Tax ID family
Mingo Health Solutions4 organizations share this tax ID, including this one
Part of
Mingo Health Solutions

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

525 N Cascade Ave
Ste 115
Colorado Springs, CO 80903
Phone (702) 848-1696

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": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1063056984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 E RUSSELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202426",
            "telephone_number": "702-556-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S EASTERN AVE STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190847",
            "telephone_number": "702-848-1696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N Cascade Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809033308",
            "country_code": "US",
            "telephone_number": "702-848-1696",
            "fax_number": "702-463-7283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINGO HEALTH SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINGO HEALTH SOLUTIONS",
        "enumeration_date": "2019-11-04",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "GRAY-MINGO",
        "authorized_official_first_name": "DINISHA",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "702-556-2634"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 Sep 21, 2023; 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.