Organization Active NPI

Rewire Behavioral Health

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1336007301
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
REWIRE BEHAVIORAL HEALTH
Practice address
953 Grand Cerritos Ave
Las Vegas, NV 89183-4674
Phone
(619) 750-3645
NPI assigned
Jan 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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

Authorized official

Name
Marquessa Shontell McDanielNPI 1629722640
Title
Manager
Phone
(619) 750-4664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

953 Grand Cerritos Ave
Las Vegas, NV 89183-4674

Mailing address

953 Grand Cerritos Ave
Las Vegas, NV 89183-4674
Phone (619) 750-4636

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.

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768694400000",
    "number": "1336007301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 GRAND CERRITOS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891834674",
            "telephone_number": "619-750-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 GRAND CERRITOS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891834674",
            "telephone_number": "619-750-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWIRE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "MARQUESSA",
        "authorized_official_middle_name": "SHONTELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-750-4664"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 18, 2026; 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.