Shekinah Glory House of Refuge

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SHEKINAH GLORY HOUSE OF REFUGE

Practice address

6018 Smoke Ranch Rd
Las Vegas, NV 89108-3700

Phone

(702) 790-2977

Fax

(725) 251-6664

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Lillian Katherine GrayNPI 1407144389

Title

Office Administrator

Phone

(702) 790-2977

Specialties & licenses 1

Addresses

Other names 1

• Shekinah Glory One Step Higher Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lillian Katherine Gray, AA

  • Rehabilitation Practitioner
  • Saint Paul, MN
  • NPI 1407144389
  NPD (past) Authorized official
• Lashona D Veasley

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1285221861
  NPD

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1326656257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 GOLDENMOON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084477",
            "telephone_number": "702-790-2977",
            "fax_number": "725-251-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 SMOKE RANCH RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891083700",
            "telephone_number": "702-790-2977",
            "fax_number": "725-251-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEKINAH GLORY HOUSE OF REFUGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "702-790-2977"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shekinah Glory One Step Higher",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohammad Sheikhai, MD
• Roxan Sheikhbahaei
• Sheila L Miranda MD Professional Corporation
• Vanessa Sheinfeld
• Michael Sheinin, D.O.
• Ashanti T Shelby
• Cedrica Latrina Shelby
• Eddie Shelby
• Eddy Clyde Shelby Jr.
• Younique Antwanette Shelby

• Addiction (Substance Use Disorder) Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.