Coaldel Behavioral Health Services L.L.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COALDEL BEHAVIORAL HEALTH SERVICES L.L.C.

Practice address

2690 African Violet Ave
Henderson, NV 89074-1957

Phone

(978) 201-8508

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Joseph I Arce

Title

Owner

Phone

(702) 485-3555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1356842041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 AFRICAN VIOLET AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741957",
            "telephone_number": "978-201-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 AFRICAN VIOLET AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741957",
            "telephone_number": "978-201-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALDEL BEHAVIORAL HEALTH SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "ARCE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-485-3555"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.

Verify at the official NPI Registry.