Organization Active NPI

Positive Innergy Behavioral Health LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1366929614
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
POSITIVE INNERGY BEHAVIORAL HEALTH LLC
Practice address
901 Brush St
Las Vegas, NV 89107-4008
Phone
(702) 713-2659
Fax
(702) 750-9009
NPI assigned
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Lemuel AllenNPI 1043719388
Title
Owner
Phone
(702) 713-2659

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

901 Brush St
Las Vegas, NV 89107-4008

Mailing address

901 Brush St
Las Vegas, NV 89107-4008
Phone (702) 713-2659

National Provider Directory

National Provider Directory

Locations

1700 E Desert Inn Rd
Ste 113
Las Vegas, NV 89169
Phone (209) 688-8041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1366929614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BRUSH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074008",
            "telephone_number": "702-713-2659",
            "fax_number": "702-750-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BRUSH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074008",
            "telephone_number": "702-713-2659",
            "fax_number": "702-750-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE INNERGY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LEMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-713-2659"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 19, 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.