NPIMap

Organization Active NPI

Care One Wellness Center LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1205305869
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CARE ONE WELLNESS CENTER LLC
Practice address
1100 W Monroe Ave Apt 145
Las Vegas, NV 89106-2967
Phone
(702) 409-4111
NPI assigned
Nov 13, 2018
Last updated
Nov 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Jamilla Sayles
Title
Owner
Phone
(702) 409-4111

Specialties & licenses 1

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

Addresses

Primary practice location

1100 W Monroe Ave Apt 145
Las Vegas, NV 89106-2967

Mailing address

1100 W Monroe Ave Apt 145
Las Vegas, NV 89106-2967
Phone (702) 409-4111

Other identifiers 1

IdentifierTypeStateIssuer
2600165361OtherNVDRIVERS LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1205305869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W MONROE AVE APT 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062967",
            "telephone_number": "702-409-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W MONROE AVE APT 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062967",
            "telephone_number": "702-409-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ONE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "SAYLES",
        "authorized_official_first_name": "JAMILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-409-4111"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "2600165361",
            "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 Nov 13, 2018; 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.