Ezra Hope 4 Homes LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EZRA HOPE 4 HOMES LLC

Practice address

3925 N MLK Blvd Ste 117
North Las Vegas, NV 89032-7675

Phone

(702) 812-0749

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Jazzamin Clark

Title

Owner

Phone

(702) 812-0749

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1265298038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N MLK BLVD STE 117",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327675",
            "telephone_number": "702-812-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N MLK BLVD STE 117",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327675",
            "telephone_number": "702-812-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZRA HOPE 4 HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAZZAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-812-0749"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.