NPIMap

Organization Active NPI

Iliad and Odyssey Behavioral Health LLC

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1336712975
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ILIAD AND ODYSSEY BEHAVIORAL HEALTH LLC
Practice address
3110 E Sunset Rd Ste K
Las Vegas, NV 89120-5700
Phone
(702) 262-0110
NPI assigned
Jul 21, 2021
Organization subpart
Yes
Parent organization
ILIAD AND ODYSSEY BEHAVIORAL HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Homer Cabrera Tuazon, APRN, FNP, PMHNPNPI 1861817934
Title
Ceo
Phone
(702) 417-3865

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

3110 E Sunset Rd Ste K
Las Vegas, NV 89120-5700

Mailing address

PO Box 400546
Las Vegas, NV 89140
Phone (702) 262-0110

Other names 1

  • ILIAD AND ODYSSEY BEHAVIORAL HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210614002482 NV Part B Supplier - Clinic/Group Practice 0446650485 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Las Vegas, NV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Iliad and Odyssey Behavioral Health LLC3 organizations share this tax ID, including this one
Part of
Iliad and Odyssey Behavioral Health LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1336712975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400546",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89140",
            "telephone_number": "702-262-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 E SUNSET RD STE K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891205700",
            "telephone_number": "702-262-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILIAD AND ODYSSEY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ILIAD AND ODYSSEY BEHAVIORAL HEALTH LLC",
        "enumeration_date": "2021-07-21",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "TUAZON",
        "authorized_official_first_name": "HOMER",
        "authorized_official_middle_name": "CABRERA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-417-3865",
        "authorized_official_credential": "APRN, FNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ILIAD AND ODYSSEY BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ILIAD AND ODYSSEY BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.