Organization Active NPI

Harmony Wellness

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • N Las Vegas, NV
National Provider Identifier
1356980080
Registry record updated Dec 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
HARMONY WELLNESS
Practice address
1019 Felix Palm Ave
N Las Vegas, NV 89032-0269
Phone
(702) 413-2925
NPI assigned
Dec 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2019

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

Authorized official

Name
Donte Boykin
Title
Owner
Phone
(702) 423-2925

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1019 Felix Palm Ave
N Las Vegas, NV 89032-0269

Mailing address

1019 Felix Palm Ave
N Las Vegas, NV 89032-0269
Phone (702) 413-2925

Other identifiers 1

IdentifierTypeStateIssuer
NV20191668205MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577491200000",
    "number": "1356980080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 FELIX PALM AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890320269",
            "telephone_number": "702-413-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 FELIX PALM AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890320269",
            "telephone_number": "702-413-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-28",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A",
        "authorized_official_last_name": "BOYKIN",
        "authorized_official_first_name": "DONTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-423-2925"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NV20191668205",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.