Organization Active NPI

Alvins Daughters LLC

Doing business as Agape Behavioral Center

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1306197934
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALVINS DAUGHTERS LLC
Doing business as
Agape Behavioral Center
Practice address
3620 N Rancho Dr Ste 107
Las Vegas, NV 89130-3153
Phone
(702) 499-0379
NPI assigned
Sep 21, 2012
Last updated
May 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Lynette MartinezNPI 1386022986
Title
Owner
Phone
(702) 499-0379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

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

Mailing address

3620 N Rancho Dr Ste 107
Las Vegas, NV 89130-3153
Phone (702) 499-0379

Other names 1

  • Agape Behavioral Center Doing business as

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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"
        }
    ]
}

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 14, 2020; 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.