One Community of Southern Nevada

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ONE COMMUNITY OF SOUTHERN NEVADA

Practice address

1230 W Owens Ave Ste 1
Las Vegas, NV 89106-2451

Phone

(203) 578-6478

NPI assigned

Sep 7, 2021

Last updated

Dec 2, 2021By 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

Latosha Bonaparte-Virgil

Title

Director

Phone

(203) 578-6478

Specialties & licenses 6

Addresses

Other identifiers 1

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1164190997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 MARVELOUS MANOR AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890321442",
            "telephone_number": "203-578-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W OWENS AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062451",
            "telephone_number": "203-578-6478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2412 Marvelous Manor Ave",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890321442",
            "country_code": "US",
            "telephone_number": "203-578-6478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE COMMUNITY OF SOUTHERN NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "BONAPARTE-VIRGIL",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-578-6478"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NV20212108865",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.