Jefferson & Shaw Holdings

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JEFFERSON & SHAW HOLDINGS

Practice address

4249 N Commerce St
North Las Vegas, NV 89032-1181

Phone

(702) 417-9024

NPI assigned

Oct 16, 2018

Organization subpart

No

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

Authorized official

Name

Eugene Wallace

Title

Assistant

Phone

(702) 417-9024

Specialties & licenses 1

Addresses

Other names 1

• Center for Positive Change Doing business as

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1295201325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 N COMMERCE ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890321181",
            "telephone_number": "702-417-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 N COMMERCE ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890321181",
            "telephone_number": "702-417-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON & SHAW HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "702-417-9024"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Positive Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssia Jaume, PHARM.D., BCPS
• Adriana Jauregui Sigala
• Renee Jaxel, LCSW
• Yvon J Jeannot
• Alyson Jeeves
• Edna Faye Jefferson
• Jason Jefferson
• Jevon Jefferson
• Justin Mathew Jefferson
• Manual Jefferson

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North 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 Oct 16, 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.