NPIMap

Organization Active NPI

Pro-Health Therapeutic & Empowerment Services LLC

  • Community Health Worker
  • Las Vegas, NV
National Provider Identifier
1194645598
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC
Practice address
2755 E Desert Inn Rd Ste 130
Las Vegas, NV 89121-3690
Phone
(702) 490-9009
Fax
(866) 737-6147
NPI assigned
Jul 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Keisha GrahamNPI 1063780500
Title
Operations
Phone
(702) 490-9009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

2755 E Desert Inn Rd Ste 130
Las Vegas, NV 89121-3690

Mailing address

2620 S Maryland Pkwy Ste 14199
Las Vegas, NV 89109-8300
Phone (702) 490-9009

National Provider Directory

National Provider Directory
Tax ID family
Pro-Health Therapeutic Emp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2755 E Desert Inn Rd
Ste 130
Las Vegas, NV 89121

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1194645598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S MARYLAND PKWY STE 14199",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891098300",
            "telephone_number": "702-490-9009",
            "fax_number": "866-737-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 E DESERT INN RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213690",
            "telephone_number": "702-490-9009",
            "fax_number": "866-737-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "702-490-9009"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 16, 2026; 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.