NPIMap

Organization Active NPI

Mojave Adult, Child & Family Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1184095481
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOJAVE ADULT, CHILD & FAMILY SERVICES
Practice address
4000 E Charleston Blvd Ste 230
Las Vegas, NV 89104-6682
Phone
(702) 968-4015
Fax
(702) 968-5050
NPI assigned
Oct 13, 2015
Organization subpart
Yes
Parent organization
UNIVERSITY OF NEVADA SCHOOL OF MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Hi Suk Chae-Bean, M.A.,C.R.C.
Title
Case Manager
Phone
(702) 968-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV Primary

Addresses

Primary practice location

4000 E Charleston Blvd Ste 230
Las Vegas, NV 89104-6682

Mailing address

4000 E Charleston Blvd Ste 230
Las Vegas, NV 89104-6682
Phone (702) 968-4015

Other identifiers 1

IdentifierTypeStateIssuer
1366477036MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
N F P R P Inc5 organizations share this tax ID, including this one
Part of
N F P R P Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184095481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 E CHARLESTON BLVD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046682",
            "telephone_number": "702-968-4015",
            "fax_number": "702-968-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E CHARLESTON BLVD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046682",
            "telephone_number": "702-968-4015",
            "fax_number": "702-968-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJAVE ADULT, CHILD & FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF NEVADA SCHOOL OF MEDICINE",
        "enumeration_date": "2015-10-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHAE-BEAN",
        "authorized_official_first_name": "HI",
        "authorized_official_middle_name": "SUK",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "702-968-4015",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.,C.R.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366477036",
            "state": "NV"
        }
    ],
    "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 Jul 21, 2022; 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.