Full Life Circle Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FULL LIFE CIRCLE SUPPORT SERVICES

Practice address

3120 Winter Sunset Ave
North Las Vegas, NV 89081-6498

Phone

(702) 834-8614

Fax

(702) 834-8614

NPI assigned

Dec 8, 2014

Organization subpart

No

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

Authorized official

Name

Barbara Houston

Title

Ceo

Phone

(702) 834-8614

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1306244330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 WINTER SUNSET AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816498",
            "telephone_number": "702-834-8614",
            "fax_number": "702-834-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 WINTER SUNSET AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816498",
            "telephone_number": "702-834-8614",
            "fax_number": "702-834-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL LIFE CIRCLE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-834-8614"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frontier Medical & Behavioral Center Inc
• Monae Frutos
• Kekoa Fuertes
• Deja Rachelle Ethel Fuimaono, MSW, LCSW
• Lane Fujimoto, O.D.
• Ryan Fullenwiley-Jones
• Linda Jean Fuller-Brown, MD
• Amaya Fuller
• Ameia Fuller
• Laschavio Fuller, EDD

• 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 Dec 8, 2014; 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.