Organization Active NPI

Grace & Mercy Human Services,Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1356650303
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
000000000 Issued in NV
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

Updated by the provider on Sep 24, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.