Raiseup Community Development Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5909-C Issued in NV

Legal business name

RAISEUP COMMUNITY DEVELOPMENT CORPORATION

Practice address

5328 Vista Hermosa Ave
Las Vegas, NV 89108-4095

Phone

(702) 592-4814

NPI assigned

Apr 22, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Fitzgerald Harris, LCSW, LADC

Title

Director/Therapist

Phone

(702) 592-4814

Specialties & licenses 4

Addresses

Other names 1

• RaiseUp Life Management Services Other name

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Raiseup Community Development Corporation

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1841570082
  NPPES parent name

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1255622353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571661",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891571661",
            "telephone_number": "702-592-4814",
            "fax_number": "702-631-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5328 VISTA HERMOSA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084095",
            "telephone_number": "702-592-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAISEUP COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "FITZGERALD",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "702-592-4814",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, LADC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NV",
            "license": "5909-C",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NV",
            "license": "01168-L",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "5909-C",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "01168-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RaiseUp Life Management Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas James Rainford, A.A. BC-HIS
• Francis Ogeto Raini, NP
• Joseph M Rainone, ATC
• Marilou Rainville
• Sierra L Rainwater, M.S., BCBA
• Raiseup Community Development Corporation
• Raising Hope Behavioral Health
• Abdi Raissi, M.D.
• Lila Raissi, PA-C
• Sayed Karim Raiyn, DDS

• 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 22, 2011; 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.