Organization Active NPI

Diversified Coalition LLC

  • Counselor
  • Las Vegas, NV
National Provider Identifier
1083919328
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
DIVERSIFIED COALITION LLC
Practice address
2340 Paseo del Prado
Building D Suite 206
Las Vegas, NV 89102-4360
Phone
(702) 485-2121
NPI assigned
Jan 18, 2011
Organization subpart
Yes
Parent organization
DIVERSIFIED COALITION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Ms. Myrna T Pili, MBA
Title
Authorized Agent
Phone
(702) 569-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X NV Primary

Addresses

Primary practice location

2340 Paseo del Prado
Building D Suite 206
Las Vegas, NV 89102-4360

Mailing address

2340 Paseo del Prado
Building D Suite 206
Las Vegas, NV 89102-4360
Phone (702) 485-2121

Other names 1

  • Diversified Family Services Doing business as

National Provider Directory

National Provider Directory
Part of
Diversified Coalition LLC

Locations

2340 Paseo del Prado
Ste 206
Las Vegas, NV 89102
Phone (702) 485-2121

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": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1083919328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PASEO DEL PRADO",
            "address_2": "BUILDING D SUITE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024360",
            "telephone_number": "702-485-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PASEO DEL PRADO",
            "address_2": "BUILDING D SUITE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024360",
            "telephone_number": "702-485-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED COALITION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSIFIED COALITION LLC",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "PILI",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "702-569-4455",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversified Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 18, 2011; 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.