Rebuilding to Success

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REBUILDING TO SUCCESS

Practice address

3212 Carolina Moon Ave
North Las Vegas, NV 89081

Phone

(724) 961-4878

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Amber Christine Hall

Title

Ceo

Phone

(724) 961-4878

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1376090894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 CAROLINA MOON AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816476",
            "telephone_number": "724-961-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 CAROLINA MOON AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89081",
            "telephone_number": "724-961-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILDING TO SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-961-4878"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.