NPIMap

Organization Active NPI

Spectrum House LLC

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1356907711
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SPECTRUM HOUSE LLC
Practice address
6396 McLeod Dr Ste 9
Las Vegas, NV 89120-4429
Phone
(702) 523-9373
NPI assigned
May 11, 2019
Last updated
Oct 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Mohamed A KamaraNPI 1639661549
Title
Manager
Phone
(702) 523-9373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU
Adult Mental Health Clinic/Center 261QM0850X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

6396 McLeod Dr Ste 9
Las Vegas, NV 89120-4429

Mailing address

6396 McLeod Dr Ste 9
Las Vegas, NV 89120-4429
Phone (702) 523-9373

Other practice location 1

6396 McLeod Dr Ste 9
Las Vegas, NV 89120-4429
Phone (702) 487-0920

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1356907711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6396 MCLEOD DR STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204429",
            "telephone_number": "702-523-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6396 MCLEOD DR STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204429",
            "telephone_number": "702-523-9373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6396 McLeod Dr Ste 9",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891204429",
            "country_code": "US",
            "telephone_number": "702-487-0920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECTRUM HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-523-9373"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 1, 2019; 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.