Alvins Daughters LLC

Key facts

NPI

1306197934

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Legal business name

ALVINS DAUGHTERS LLC

Practice address

3620 N Rancho Dr Ste 107
Las Vegas, NV 89130-3153

Phone

(702) 499-0379

NPI assigned

Sep 21, 2012

Organization subpart

No

Authorized official

Name

Lynette Martinez

Title

Owner

Phone

(702) 499-0379

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Agape Behavioral Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 14, 2020.

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1306197934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N RANCHO DR STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303153",
            "telephone_number": "702-499-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N RANCHO DR STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303153",
            "telephone_number": "702-499-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVINS DAUGHTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-499-0379"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Behavioral Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Agape Behavioral Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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