Active NPI
Simple Life Favor
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1134836745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NV20201734239 | Medicaid | NV |
Other names 1
- Simple life Favor
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | robin@simplelifefavor.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.