Henderson Family Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HENDERSON FAMILY SERVICES LLC

Practice address

3513 E Russell Rd Ste D
Las Vegas, NV 89120-2244

Phone

(702) 619-3919

NPI assigned

Feb 1, 2017

Last updated

Feb 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Kirby

Title

Authorized Administrator

Phone

(702) 619-3919

Specialties & licenses 1

Addresses

Locations

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.

• Shannon Moore

  • Professional Counselor
  • Rosedale, MD
  • NPI 1912439001
  NPD (past)

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1144768870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 E RUSSELL RD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202244",
            "telephone_number": "702-619-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 E RUSSELL RD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202244",
            "telephone_number": "702-619-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "AUTHORIZED ADMINISTRATOR",
        "authorized_official_telephone_number": "702-619-3919"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Henderson CVS LLC (CVS Pharmacy)
• Henderson Mental Health LLC
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• Tanya Henderson-Lolar
• Ajia Henderson

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.