Unexpected Changes

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

UNEXPECTED CHANGES

Practice address

424 Marion Dr
Las Vegas, NV 89110-3473

Phone

(702) 353-2467

Fax

(702) 538-8263

NPI assigned

Mar 27, 2010

Organization subpart

No

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

Authorized official

Name

Jacqueline Celess Edwards

Title

Ceo/Owner

Phone

(702) 353-2467

Specialties & licenses 1

Addresses

Tax ID family

Unepected Changes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Unepected Changes

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Las Vegas, NV
  • NPI 1093030017
  NPD tax ID

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269648000000",
    "number": "1366767816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 LAWRENCE ST UNIT 1138",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814200",
            "telephone_number": "702-353-2467",
            "fax_number": "702-538-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MARION DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103473",
            "telephone_number": "702-353-2467",
            "fax_number": "702-538-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNEXPECTED CHANGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-27",
        "last_updated": "2010-03-27",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "CELESS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "702-353-2467"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Friend Underwood, P.T.
• Tiffany R Underwood
• Jacqueline Underwwod
• Lindsey Undis, RN
• Unepected Changes
• Cuong S Ung, PHARMD
• Steven Si Tay Ung
• Judith Ungar Neuenkirch, MSW, LCSW
• Analisa Unger
• Cynthia A Unger, MA, CPC, LPC, LPCC

• Substance Abuse Rehabilitation Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Substance Abuse Rehabilitation Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.