Organization Active NPI

Alpha & Omega Total Care LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1063127801
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALPHA & OMEGA TOTAL CARE LLC
Practice address
5000 W Oakey Blvd Ste B7
Las Vegas, NV 89146-3395
Phone
(702) 831-3869
NPI assigned
Jan 17, 2023
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Gabriela De Luna Olivares
Title
Ceo
Phone
(702) 831-3869

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Marriage & Family Therapist 106H00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5000 W Oakey Blvd Ste B7
Las Vegas, NV 89146-3395

Mailing address

5000 W Oakey Blvd Ste B7
Las Vegas, NV 89146-3395
Phone (702) 831-3869

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Nevada

National Provider Directory

National Provider Directory
Tax ID family
Alpha Omega Total Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1063127801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W OAKEY BLVD STE B7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463395",
            "telephone_number": "702-831-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W OAKEY BLVD STE B7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463395",
            "telephone_number": "702-831-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA & OMEGA TOTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_middle_name": "DE LUNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-831-3869"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nevada",
            "affiliation": "N",
            "address_1": "5000 W Oakey Blvd Ste B7",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891463395",
            "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 Jan 17, 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.