Active NPI
Boomerang Behavioral Solutions LLC.
- Case Management Agency
- Las Vegas, NV
National Provider Identifier
1336617257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- BOOMERANG BEHAVIORAL SOLUTIONS LLC.
- Practice address
- 9436 Rolling Ridge LN
Las Vegas, NV 89134-0149 - Phone
- (702) 675-2556
- NPI assigned
- Nov 8, 2018
- Last updated
- Nov 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Fraction, QMHA
- Title
- Excecutive Director
- Phone
- (702) 675-2556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
9436 Rolling Ridge LN
Las Vegas, NV 89134-0149
Mailing address
9436 Rolling Ridge LN
Las Vegas, NV 89134-0149
Phone (702) 675-2556
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541635200000",
"number": "1336617257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9436 ROLLING RIDGE LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891340149",
"telephone_number": "702-675-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9436 ROLLING RIDGE LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891340149",
"telephone_number": "702-675-2556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOOMERANG BEHAVIORAL SOLUTIONS LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-08",
"last_updated": "2018-11-08",
"status": "A",
"authorized_official_last_name": "FRACTION",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "EXCECUTIVE DIRECTOR",
"authorized_official_telephone_number": "702-675-2556",
"authorized_official_credential": "QMHA"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"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 Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.