Active NPI
Positive Health
- Public Health or Welfare Agency
- Las Vegas, NV
National Provider Identifier
1356963193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- POSITIVE HEALTH
- Doing business as
- POSiTiVE Health
- Practice address
- 6550 S Pecos Rd Ste B-115
Las Vegas, NV 89120-2828 - Phone
- (415) 690-6635
- NPI assigned
- May 14, 2020
- Last updated
- Jun 9, 2020
- 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
- Ms. Penny Nunez-McDonough
- Title
- Owner
- Phone
- (415) 690-6635
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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Public Health or Welfare Agency | 251K00000X | NU | Primary | |
| Attendant Care Provider | 3747A0650X | NU | ||
| Personal Care Attendant | 3747P1801X | NU | ||
| Home Health Aide | 374U00000X | NU | ||
| Contractor | 171W00000X | NU | ||
| Rehabilitation Practitioner | 225400000X | NU | ||
| Community Health Worker | 172V00000X | NU | ||
| Behavior Analyst | 103K00000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU | ||
| Peer Specialist | 175T00000X | NU | ||
| Prevention Professional | 405300000X | NU |
Addresses
Primary practice location
6550 S Pecos Rd Ste B-115
Las Vegas, NV 89120-2828
Mailing address
6550 S Pecos Rd Ste B-115
Las Vegas, NV 89120-2828
Phone (415) 690-6635
Other practice location 1
4080 Paradise Road 15
Suite 131
Las Vegas, NV 89169
Phone (415) 690-6635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003305483 | Medicaid | CA |
Other names 1
- POSiTiVE Health
National Provider Directory
National Provider DirectoryLocations
6550 S Pecos Rd
Ste B115
Las Vegas, NV 89120
Phone (415) 690-6635
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": "1589414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591660800000",
"number": "1356963193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 S PECOS RD STE B-115",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202828",
"telephone_number": "415-690-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 S PECOS RD STE B-115",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202828",
"telephone_number": "415-690-6635"
}
],
"practiceLocations": [
{
"address_1": "4080 Paradise Road 15",
"address_2": "Suite 131",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89169",
"country_code": "US",
"telephone_number": "415-690-6635",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "POSITIVE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-14",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A",
"authorized_official_last_name": "NUNEZ-MCDONOUGH",
"authorized_official_first_name": "PENNY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "415-690-6635",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003305483",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "POSiTiVE 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 Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.