Short Term House 1 of NV LLC

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

SHORT TERM HOUSE 1 OF NV LLC

Practice address

4417 Isabella Ave
Las Vegas, NV 89110-4664

Phone

(702) 205-8968

NPI assigned

Jan 6, 2022

Last updated

Jan 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maimouna R CantrallNPI 1174996201

Title

Owner

Phone

(702) 208-2194

Specialties & licenses 1

Addresses

Locations

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.

• Maimouna Rose Cantrall, LSW

  • Social Worker
  • Las Vegas, NV
  • NPI 1174996201
  Authorized official Same address or phone

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1316608797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E DESERT INN RD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692505",
            "telephone_number": "702-208-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 ISABELLA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104664",
            "telephone_number": "702-205-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT TERM HOUSE 1 OF NV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "CANTRALL",
        "authorized_official_first_name": "MAIMOUNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-208-2194"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Sholty, M.D.
• Heather Renee Shoop, BA, CADC
• Shooting Stars Behavioral Health LLC
• Ryan Shopshire
• Shorelines
• Cristina Short-Henzon, RN
• Bryce Short
• Mark Philo Short, PSY.D.
• Marqueisha Short
• Yolanda Short

• Lodging Provider in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Lodging Provider in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.