Connie Linnette Harris

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1380 E Silverado Ranch Blvd
Las Vegas, NV 89183-5924

Phone

(702) 491-1265

Fax

(702) 453-8874

NPI assigned

Apr 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Equal Housing Opportunity Inc

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Henderson, NV
  • NPI 1104161355
  NPD Authorized official
• Equal Housing Opportunity Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1700531100
  NPD Authorized official

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1205222924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 MOON VISION ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "701-491-1265",
            "fax_number": "702-453-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E SILVERADO RANCH BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835924",
            "telephone_number": "702-491-1265",
            "fax_number": "702-453-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CONNIE",
        "middle_name": "LINNETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811262488",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherie Shavonne Harris
• Cherrel Harris
• Chyna Harris
• Clara Harris
• Clement Harris
• Cordell Destrey Harris
• Corey L Harris
• Courtney Harris
• Danyale Harris
• Dar'Juanah Harris

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.