Butler House

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

BUTLER HOUSE

Practice address

4125 N Butler St
Las Vegas, NV 89129-4864

Phone

(702) 343-1859

NPI assigned

Sep 29, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Philip T Prentiss

Title

Manager

Phone

(702) 343-1859

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1073237384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 N BUTLER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294864",
            "telephone_number": "702-343-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 N BUTLER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294864",
            "telephone_number": "702-343-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "PRENTISS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-343-1859",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "NV20222560391",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4125butlerst89129",
            "affiliation": "N",
            "endpointDescription": "Nursing Home",
            "address_1": "4125 N Butler St",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891294864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Nicole Buthler
• Amber Butkovich
• William Robert Butkovich Jr., CNA
• Butler Family Medical Center Inc
• Butler Home Health Care, LLC
• Charlesetta Butler Miles
• Alisha Butler
• Angelette Butler
• Angelic Butler
• Anita Butler

• Alzheimer Center (Dementia Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Alzheimer Center (Dementia Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.