Organization Active NPI

Divine Healing Health Services LLC

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
National Provider Identifier
1134594591
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIVINE HEALING HEALTH SERVICES LLC
Practice address
2608 White Oak Rd
North Las Vegas, NV 89030-5341
Phone
(702) 351-8798
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Darryl J Allen
Title
Manager
Phone
(702) 205-7515

Specialties & licenses 1

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

Addresses

Primary practice location

2608 White Oak Rd
North Las Vegas, NV 89030-5341

Mailing address

2608 White Oak Rd
North Las Vegas, NV 89030-5341
Phone (702) 351-8798

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1134594591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 WHITE OAK RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305341",
            "telephone_number": "702-351-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 WHITE OAK RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305341",
            "telephone_number": "702-351-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALING HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-205-7515"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.