Active NPI
Grace & Mercy Human Services,Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Las Vegas, NV
National Provider Identifier
1356650303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 000000000
- Legal business name
- GRACE & MERCY HUMAN SERVICES,INC
- Practice address
- 880 Blankenship Ave
Las Vegas, NV 89106-2230 - Phone
- (702) 489-4226
- Fax
- (702) 489-4226
- NPI assigned
- Sep 24, 2010
- 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
- Barbara Dedeaux
- Title
- Ceo
- Phone
- (702) 489-4226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 000000000 | NV | Primary |
Addresses
Primary practice location
880 Blankenship Ave
Las Vegas, NV 89106-2230
Mailing address
880 Blankenship Ave
Las Vegas, NV 89106-2230
Phone (702) 489-4226
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285286400000",
"number": "1356650303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 BLANKENSHIP AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062230",
"telephone_number": "702-489-4226",
"fax_number": "702-489-4226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 BLANKENSHIP AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062230",
"telephone_number": "702-489-4226",
"fax_number": "702-489-4226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE & MERCY HUMAN SERVICES,INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-24",
"last_updated": "2010-09-24",
"status": "A",
"authorized_official_last_name": "DEDEAUX",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-489-4226"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NV",
"license": "000000000",
"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 Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.