Succeed BHS LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUCCEED BHS LLC

Practice address

4160 S Pecos Rd Ste 18a
Las Vegas, NV 89121-5027

Phone

(909) 991-5571

NPI assigned

Apr 26, 2022

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Delaunta Gaskin

Title

Owner

Phone

(909) 991-5571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1386388130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 S PECOS RD STE 18A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215027",
            "telephone_number": "909-991-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 S PECOS RD STE 18A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215027",
            "telephone_number": "909-991-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCEED BHS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "GASKIN",
        "authorized_official_first_name": "DELAUNTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-991-5571"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.