Super Life Codes Foundation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUPER LIFE CODES FOUNDATION

Practice address

4276 Spring Mountain Rd Unit 214
Las Vegas, NV 89102-8781

Phone

(702) 981-8456

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Ryan Tsui

Title

Executive Director

Phone

(626) 715-9088

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1306450978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 SPRING MOUNTAIN RD UNIT 214",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028781",
            "telephone_number": "702-981-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 SPRING MOUNTAIN RD UNIT 214",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028781",
            "telephone_number": "702-981-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER LIFE CODES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "TSUI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-715-9088"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.superlifecodesfoundation.org",
            "affiliation": "N",
            "address_1": "4276 Spring Mountain Rd Unit 214",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891028781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sunstar Anesthesiology & Critical Care Consultants PLLC
• Sunstar Optical
• Sunstar Optical, Inc.
• Supa
• Super Care, LLC
• Super Sell Enterprises
• Super Youth of Nevada
• Superior Connections
• Superior Connections Services LLC
• Superior Medical Group LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.