The Graduate House

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

THE GRADUATE HOUSE

Practice address

5812 Gold Horizon St
North Las Vegas, NV 89031-6881

Phone

(702) 502-0647

NPI assigned

Apr 9, 2014

Organization subpart

No

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

Authorized official

Name

Kevin Brinton Cook

Title

Ceo

Phone

(702) 502-0647

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1174942809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 GOLD HORIZON ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890316881",
            "telephone_number": "702-502-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5812 GOLD HORIZON ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890316881",
            "telephone_number": "702-502-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRADUATE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BRINTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-502-0647"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in North Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.