Organization Active NPI

Peace and Tranquility Resource Center

  • Physical Disabilities Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1194199687
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
NV20151125507 Issued in NV
Legal business name
PEACE AND TRANQUILITY RESOURCE CENTER
Doing business as
Peace and Tranquility
Practice address
9788 Gilespie St Ste 424
Las Vegas, NV 89183
Phone
(792) 902-2362
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Mr. Rafael D Scroggins
Title
Executive Director
Phone
(702) 902-2362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X NV20151125507 NV Primary

Addresses

Primary practice location

9788 Gilespie St Ste 424
Las Vegas, NV 89183

Mailing address

9788 Gilespie St Ste 424
Las Vegas, NV 89183-7611
Phone (702) 902-2362

Other identifiers 1

IdentifierTypeStateIssuer
1154700987MedicaidNV

Other names 1

  • Peace and Tranquility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peace and Tranquility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1194199687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9788 GILESPIE ST STE 424",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837611",
            "telephone_number": "702-902-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9788 GILESPIE ST STE 424",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89183",
            "telephone_number": "792-902-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE AND TRANQUILITY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "SCROGGINS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-902-2362",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NV",
            "license": "NV20151125507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154700987",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace and Tranquility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 20, 2015; 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.