Life Gateway LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE GATEWAY LLC

Practice address

10467 Mount Mitchell CT
Las Vegas, NV 89149-0907

Phone

(702) 752-9274

NPI assigned

Oct 31, 2024

Organization subpart

No

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

Authorized official

Name

Stacy ThorntonNPI 1578846341

Title

Manager

Phone

(702) 521-7495

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Lyn Thornton

  • Rehabilitation Practitioner
  • Henderson, NV
  • NPI 1578846341
  NPD Authorized official

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1114749967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10046 FLINK CREEK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891785566",
            "telephone_number": "702-521-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10467 MOUNT MITCHELL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490907",
            "telephone_number": "702-752-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE GATEWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-521-7495"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Empowerment Center of Nevada PLLC
• Life Gateway
• Life Gateway
• Life Gateway
• Life Gateway Behavior Health
• Life Goals Therapy LLC
• Life Guard International, Inc.
• Life Healing LLC
• Life Health and Wellness Center LLC
• Life Interrupted Treatment, LLC

• 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 Oct 31, 2024; 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.