Century Addiction Treatment Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CENTURY ADDICTION TREATMENT CENTER LLC

Practice address

1771 E Flamingo Rd Ste 111B
Las Vegas, NV 89119-0851

Phone

(725) 777-3440

NPI assigned

Jan 10, 2019

Last updated

Jan 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Robert Gaticales, APN

Title

Owner

Phone

(702) 292-4657

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1073086179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 111B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 111B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190851",
            "telephone_number": "725-777-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY ADDICTION TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "GATICALES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-292-4657",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central RX Services, LLC (IngenioRx Specialty)
• Centre for Psychosocial Rehabilitation Services
• Lauren Centrella
• Centric ABA
• Centro Yolitia LLC
• Century Vision Center, CHTD. (Clear Vision Eye Centers)
• Century Vision Center, CHTD. (Clearvision Eye Center)
• Debbie Cenzer
• Cep America - Neurology PC
• Mericia Cepeda Lopez

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.