Organization Active NPI

Resurrection Treatment Center LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1134925126
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESURRECTION TREATMENT CENTER LLC
Practice address
3909 S Maryland Pkwy Ste 215
Las Vegas, NV 89119-7520
Phone
(702) 502-0505
NPI assigned
Feb 20, 2025
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
John CrowleyNPI 1003195835
Title
President
Phone
(702) 502-0505

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 NU Primary

Addresses

Primary practice location

3909 S Maryland Pkwy Ste 215
Las Vegas, NV 89119-7520

Mailing address

5316 Rapunzel CT
Las Vegas, NV 89113-1831
Phone (702) 502-0505

National Provider Directory

National Provider Directory

Locations

3909 S Maryland Pkwy
Ste 215
Las Vegas, NV 89119
Phone (702) 502-0505

400 S 4th St
Ste 323
Las Vegas, NV 89101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1134925126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 RAPUNZEL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131831",
            "telephone_number": "702-502-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 S MARYLAND PKWY STE 215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197520",
            "telephone_number": "702-502-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-502-0505"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 18, 2025; 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.