Organization Active NPI

A New Day Adult Daycare and Outpatient Treatment Center ,LLC

  • Community Health Worker
  • Las Vegas, NV
National Provider Identifier
1225438393
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
A NEW DAY ADULT DAYCARE AND OUTPATIENT TREATMENT CENTER ,LLC
Practice address
3660 N Rancho Dr Ste 113
Las Vegas, NV 89130-3188
Phone
(404) 934-3936
NPI assigned
Aug 26, 2014
Last updated
Aug 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
John Oshifodunrin
Title
Ceo
Phone
(404) 934-3936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

3660 N Rancho Dr Ste 113
Las Vegas, NV 89130-3188

Mailing address

3660 N Rancho Dr Ste 113
Las Vegas, NV 89130-3188

Other identifiers 1

IdentifierTypeStateIssuer
1447687454MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
A New Day Adult Daycare and Outpatient Treatment Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1225438393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 N RANCHO DR STE 113",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 N RANCHO DR STE 113",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303188",
            "telephone_number": "404-934-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW DAY ADULT DAYCARE AND OUTPATIENT TREATMENT CENTER ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "OSHIFODUNRIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-934-3936"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447687454",
            "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 Aug 26, 2014; 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.