Organization Active NPI

Remedy Wellness and Resource Center

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1164066601
Registry record updated Jan 5, 2021
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REMEDY WELLNESS AND RESOURCE CENTER
Practice address
3650 N Rancho Dr Ste 107
Las Vegas, NV 89130-3151
Phone
(702) 780-4640
Fax
(702) 665-5913
NPI assigned
Oct 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Ashley Bunton-DodsonNPI 1114313954
Title
Owner
Phone
(702) 666-1917

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 Primary

Addresses

Primary practice location

3650 N Rancho Dr Ste 107
Las Vegas, NV 89130-3151

Mailing address

5016 Glittering Star CT
Las Vegas, NV 89130-7233
Phone (702) 666-1917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

3650 N Rancho Dr
Ste 107
Las Vegas, NV 89130
Phone (702) 780-4640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1164066601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 GLITTERING STAR CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891307233",
            "telephone_number": "702-666-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 N RANCHO DR STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303151",
            "telephone_number": "702-780-4640",
            "fax_number": "702-665-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDY WELLNESS AND RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "BUNTON-DODSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-666-1917"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.