Active NPI
Peace and Tranquility Resource Center
- Physical Disabilities Residential Treatment Facility
- Las Vegas, NV
National Provider Identifier
1194199687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- NV20151125507
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154700987 | Medicaid | NV |
Other names 1
- Peace and Tranquility
National Provider Directory
National Provider Directory- Tax ID family
- Peace and Tranquility
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1154700987
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.