NPIMap

Organization Active NPI

Westcare Nevada Inc

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
National Provider Identifier
1306022025
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
N35000041112243 Issued in NV
Legal business name
WESTCARE NEVADA INC
Practice address
5659 Duncan Dr
Las Vegas, NV 89130-2811
Phone
(702) 385-2020
Fax
(702) 658-0480
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Mr. Shawn A Jenkins
Title
Coo
Phone
(702) 385-2090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X N35000041112243 NV Primary

Addresses

Primary practice location

5659 Duncan Dr
Las Vegas, NV 89130-2811

Mailing address

1711 Whitney Mesa Dr
Henderson, NV 89014-2080
Phone (702) 385-2090

Other identifiers 1

IdentifierTypeStateIssuer
100511279MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Westcare25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

5659 Duncan Dr
Las Vegas, NV 89130
Phone (702) 385-2020

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1306022025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 WHITNEY MESA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142080",
            "telephone_number": "702-385-2090",
            "fax_number": "702-977-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 DUNCAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302811",
            "telephone_number": "702-385-2020",
            "fax_number": "702-658-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCARE NEVADA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "702-385-2090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NV",
            "license": "N35000041112243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511279",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 20, 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.