Everton's Place II, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EVERTON'S PLACE II, INC

Doing business as

IMpossible Behavioral Health

Practice address

1333 N Buffalo Dr Unit 250
Las Vegas, NV 89128-3637

Phone

(702) 507-0373

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Terrell DrakeNPI 1194483537

Title

Treasurer

Phone

(702) 622-2679

Specialties & licenses 1

Addresses

Other names 1

• IMpossible Behavioral Health Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terrell Anthony Drake

  • Behavior Technician
  • Las Vegas, NV
  • NPI 1194483537
  NPD Authorized official
• Dexter Anthony Drake

  • Behavior Technician
  • Las Vegas, NV
  • NPI 1053079400
  NPD

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1205588233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10166 SKYE SADDLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666597",
            "telephone_number": "702-622-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 N BUFFALO DR UNIT 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283637",
            "telephone_number": "702-507-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERTON'S PLACE II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "702-622-2679"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMpossible Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Everside Health, LLC
• Everside Health, LLC
• Brandy Eversole
• Gaylin L. Everson
• Lisa Marie Evert, LCSW
• Everton's Place LLC (IMpossible Mental Health Services)
• Everwell Internal Medicine PLLC
• Everwell Medical LLC
• Everyday Miracles
• Everyday Miracles LLC

• 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 Jan 20, 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.