NPIMap

Organization Active NPI

Vogue Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
National Provider Identifier
1215436605
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
VOGUE RECOVERY CENTER, LLC
Practice address
6655 W Sahara Ave Ste D208
Las Vegas, NV 89146-0851
Phone
(818) 916-8116
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
George Boyadzhyan
Title
Ceo
Phone
(818) 916-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

6655 W Sahara Ave Ste D208
Las Vegas, NV 89146-0851

Mailing address

6655 W Sahara Ave Ste D208
Las Vegas, NV 89146-0851
Phone (818) 916-8116

Other identifiers 1

IdentifierTypeStateIssuer
8779-ADA-0OtherNVNEVADA DHS LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Vogue Recovery Center LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1215436605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE STE D208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460851",
            "telephone_number": "818-916-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE STE D208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460851",
            "telephone_number": "818-916-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOGUE RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "BOYADZHYAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-916-8116"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA DHS LICENSE",
            "identifier": "8779-ADA-0",
            "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 Feb 12, 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.