Active NPI
Keney Behavioral Health Services LLC
- Community/Behavioral Health Agency
- Pharump, NV
National Provider Identifier
1205569852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120 | Medicaid | NV |
Other names 1
- Keney Behavioral Health Services LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.