Unepected Changes

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

UNEPECTED CHANGES

Practice address

428 Marion Dr
Las Vegas, NV 89110-3473

Phone

(702) 353-2467

NPI assigned

Apr 1, 2010

Last updated

Apr 1, 2010By 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

Jacqueline C Edwards

Title

Ceo/Owner

Phone

(702) 353-2467

Specialties & licenses 1

Addresses

Tax ID family

Unepected Changes2 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.

• Unexpected Changes

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
  • NPI 1366767816
  NPD tax ID

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1093030017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 LAWRENCE ST UNIT 1138",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814200",
            "telephone_number": "702-353-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 MARION DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103473",
            "telephone_number": "702-353-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNEPECTED CHANGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "702-353-2467"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa R. Underwood, M.D.
• Michelle Friend Underwood, P.T.
• Tiffany R Underwood
• Jacqueline Underwwod
• Lindsey Undis, RN
• Unexpected Changes
• Cuong S Ung, PHARMD
• Steven Si Tay Ung
• Judith Ungar Neuenkirch, MSW, LCSW
• Analisa Unger

• Emotionally Disturbed Childrens' Residential Treatment Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.