Defining Moments Health Solutions LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20181229796 Issued in NV

Legal business name

DEFINING MOMENTS HEALTH SOLUTIONS LLC

Practice address

1825 Navajo Lake Way
Las Vegas, NV 89128-3289

Phone

(702) 245-1293

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Michelle DavisNPI 1043759079

Title

Owner/Cfo

Phone

(702) 245-1293

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michelle Davis

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1043759079
  NPD Authorized official

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1245737725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 NAVAJO LAKE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283289",
            "telephone_number": "702-245-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 NAVAJO LAKE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283289",
            "telephone_number": "702-245-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFINING MOMENTS HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "702-245-1293"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20181229796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Lynn Deets, P.T.
• Samantha Nichol Defalco
• Arianna Defazio
• Donna Lynn Defell
• Vincent Defiesta, MS
• Guadalupe Deflores
• Lui Defranco
• Brooke Defroscia
• Vanessa Degado-Acosta
• Cindy Degan

• 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 Apr 10, 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.