Organization Active NPI

Purpose Driven Recovery LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1376133165
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PURPOSE DRIVEN RECOVERY LLC
Practice address
2785 E Desert Inn Rd Ste 270
Las Vegas, NV 89121-3693
Phone
(702) 476-2066
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Kaia Gilbert
Title
Owner
Phone
(951) 376-0177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2785 E Desert Inn Rd Ste 270
Las Vegas, NV 89121-3693

Mailing address

3157 N Rainbow Blvd # 346
Las Vegas, NV 89108-4578
Phone (951) 376-0177

National Provider Directory

National Provider Directory

Locations

3157 N Rainbow Blvd
Las Vegas, NV 89108

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1376133165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N RAINBOW BLVD # 346",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084578",
            "telephone_number": "951-376-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 E DESERT INN RD STE 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213693",
            "telephone_number": "702-476-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE DRIVEN RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "KAIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-376-0177"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Sep 7, 2021; 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.