Organization Active NPI

Grace and Mercy Human Services Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1396022216
Registry record updated Nov 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20081080217 Issued in NV
Legal business name
GRACE AND MERCY HUMAN SERVICES INC
Doing business as
Grace and Mercy Mental Health and Wellness Agency
Practice address
880 Blankenship Ave
Las Vegas, NV 89106-2230
Phone
(702) 272-4393
Fax
(702) 489-4226
NPI assigned
Nov 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2011

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

Authorized official

Name
Barbara Dedeaux
Title
Owner
Phone
(702) 272-4393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20081080217 NV Primary

Addresses

Primary practice location

880 Blankenship Ave
Las Vegas, NV 89106-2230

Mailing address

880 Blankenship Ave
Las Vegas, NV 89106-2230
Phone (702) 272-4393

Other names 1

  • Grace and Mercy Mental Health and Wellness Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320537600000",
    "number": "1396022216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 BLANKENSHIP AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062230",
            "telephone_number": "702-272-4393",
            "fax_number": "702-489-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 BLANKENSHIP AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062230",
            "telephone_number": "702-272-4393",
            "fax_number": "702-489-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AND MERCY HUMAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-06",
        "last_updated": "2011-11-06",
        "status": "A",
        "authorized_official_last_name": "DEDEAUX",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-272-4393"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20081080217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace and Mercy Mental Health and Wellness Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 6, 2011; 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.