Organization Active NPI

Simple Life Favor

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1134836745
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SIMPLE LIFE FAVOR
Practice address
420 S Jones Blvd
Las Vegas, NV 89107-2658
Phone
(702) 810-9226
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Robin Renee Mason, LMFT
Title
Ceo
Phone
(702) 810-9226

Specialties & licenses 1

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

Addresses

Primary practice location

420 S Jones Blvd
Las Vegas, NV 89107-2658

Mailing address

7250 S Durango Dr Ste 130
Las Vegas, NV 89113-2255
Phone (028) 109-2267

Other identifiers 1

IdentifierTypeStateIssuer
NV20201734239MedicaidNV

Other names 1

  • Simple life Favor Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL robin@simplelifefavor.com Direct

National Provider Directory

National Provider Directory

Locations

7250 S Durango Dr
Ste 130
Las Vegas, NV 89113

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1134836745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 S DURANGO DR STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132255",
            "telephone_number": "028-109-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072658",
            "telephone_number": "702-810-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE LIFE FAVOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-810-9226",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NV20201734239",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "robin@simplelifefavor.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "420 S Jones Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891072658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Simple life Favor",
            "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 Nov 2, 2022; 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.