NPIMap

Organization Active NPI

Southwest Healthcare LLC

  • Adult Mental Health Clinic/Center
  • North Las Vegas, NV
National Provider Identifier
1255096863
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SOUTHWEST HEALTHCARE LLC
Practice address
3277 W Craig Rd Ste 100-130
North Las Vegas, NV 89032-0792
Phone
(702) 469-7897
NPI assigned
Nov 8, 2021
Last updated
Nov 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Barbara Dedeaux
Title
Ceo
Phone
(702) 469-7897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3277 W Craig Rd Ste 100-130
North Las Vegas, NV 89032-0792

Mailing address

3131 W Craig Rd Ste 180
North Las Vegas, NV 89032-0861
Phone (702) 469-7897

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL carepaths

National Provider Directory

National Provider Directory
Tax ID family
Southwest Healthcare Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3131 W Craig Rd
Ste 180
North Las Vegas, NV 89032
Phone (702) 469-7897

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1255096863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 W CRAIG RD STE 180",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320861",
            "telephone_number": "702-469-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 W CRAIG RD STE 100-130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320792",
            "telephone_number": "702-469-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "DEDEAUX",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-469-7897"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carepaths",
            "affiliation": "N",
            "address_1": "3277 W Craig Rd Ste 100-130",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890320792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.