Organization Active NPI

New Start at Second Chance LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1396166310
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW START AT SECOND CHANCE LLC
Practice address
1201 Jefferson Ave
Las Vegas, NV 89106-2833
Phone
(702) 528-3240
NPI assigned
Dec 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Clifford OsleyNPI 1568705143
Title
Ceo
Phone
(702) 528-3240

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1201 Jefferson Ave
Las Vegas, NV 89106-2833

Mailing address

1201 Jefferson Ave
Las Vegas, NV 89106-2833
Phone (702) 528-3240

National Provider Directory

National Provider Directory

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": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1396166310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 JEFFERSON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062833",
            "telephone_number": "702-528-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 JEFFERSON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062833",
            "telephone_number": "702-528-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW START AT SECOND CHANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "OSLEY",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-528-3240"
    },
    "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 Dec 17, 2013; 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.