NPIMap

Organization Active NPI

Concorde Treatment Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
National Provider Identifier
1275879199
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
7470 Issued in NV
Legal business name
CONCORDE TREATMENT CENTER, LLC
Practice address
2465 E Twain Ave
Las Vegas, NV 89121-4011
Phone
(702) 431-4345
Fax
(702) 431-4406
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Kristin Berg
Title
Facility Executive Director
Phone
(702) 789-6233

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 7470 NV
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 7470 NV
Substance Abuse Rehabilitation Facility 324500000X 7470 NV Primary

Addresses

Primary practice location

2465 E Twain Ave
Las Vegas, NV 89121-4011

Mailing address

500 Wilson Pike Cir Ste 360
Brentwood, TN 37027-3266

Other names 1

  • Desert Hope Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concorde 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1275879199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WILSON PIKE CIR STE 360",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 E TWAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214011",
            "telephone_number": "702-431-4345",
            "fax_number": "702-431-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDE TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "FACILITY EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-789-6233"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NV",
            "license": "7470",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NV",
            "license": "7470",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NV",
            "license": "7470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Hope Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 10, 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.