Organization Active NPI

Keney Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Pharump, NV
National Provider Identifier
1205569852
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KENEY BEHAVIORAL HEALTH SERVICES LLC
Practice address
70 South Hwy 160 Suit 104
Pharump, NV 89048-8912
Phone
(702) 406-7133
NPI assigned
Jul 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
John Okafor
Title
Ceo
Phone
(702) 406-7133

Specialties & licenses 1

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

Addresses

Primary practice location

70 South Hwy 160 Suit 104
Pharump, NV 89048-8912

Mailing address

7640 Feliz Camino Ave
Las Vegas, NV 89129-5407
Phone (702) 406-7133

Other identifiers 1

IdentifierTypeStateIssuer
120MedicaidNV

Other names 1

  • Keney Behavioral Health Services LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230921001782 NV Part B Supplier - Clinic/Group Practice 1759735947 Receives reassigned benefits from 1 practitioner
Practice locations: Pahrump, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1205569852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 FELIZ CAMINO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891295407",
            "telephone_number": "702-406-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SOUTH HWY 160 SUIT 104",
            "city": "PHARUMP",
            "state": "NV",
            "postal_code": "890488912",
            "telephone_number": "702-406-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENEY BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-406-7133"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keney Behavioral Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keney Behavioral Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.