NPIMap

Organization Active NPI

Newvantages LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1124448915
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEWVANTAGES LLC
Practice address
9781 Dottie Jewel Ave
Las Vegas, NV 89147-6766
Phone
(313) 212-6733
NPI assigned
Apr 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Antoinette RichbowNPI 1336492701
Title
Manager
Phone
(313) 212-6733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9781 Dottie Jewel Ave
Las Vegas, NV 89147-6766

Mailing address

9781 Dottie Jewel Ave
Las Vegas, NV 89147-6766
Phone (313) 212-6733

Other identifiers 4

IdentifierTypeStateIssuer
1295098788MedicaidNV
1669735247MedicaidNV
1699872614MedicaidNV
1336492701MedicaidNV

National Provider Directory

National Provider Directory

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": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1124448915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9781 DOTTIE JEWEL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476766",
            "telephone_number": "313-212-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9781 DOTTIE JEWEL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476766",
            "telephone_number": "313-212-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWVANTAGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "RICHBOW",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-212-6733"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295098788",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669735247",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699872614",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336492701",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 21, 2014; 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.