NPIMap

Organization Active NPI

For a Successful Tomorrow (F.a.S.T) Behavior Treatment Agency LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1396188231
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20131207488 Issued in NV
Legal business name
FOR A SUCCESSFUL TOMORROW (F.A.S.T) BEHAVIOR TREATMENT AGENCY LLC
Practice address
213 N Lamb Blvd
Unit F
Las Vegas, NV 89110-0510
Phone
(510) 703-3311
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Fitzroy D. WintersNPI 1972808228
Title
Owner
Phone
(510) 703-3311

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 NV20131207488 NV Primary

Addresses

Primary practice location

213 N Lamb Blvd
Unit F
Las Vegas, NV 89110-0510

Mailing address

213 N Lamb Blvd
Unit F
Las Vegas, NV 89110-0510
Phone (510) 703-3311

National Provider Directory

National Provider Directory
Tax ID family
For a Successful Tomorrow2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1396188231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N LAMB BLVD",
            "address_2": "UNIT F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891100510",
            "telephone_number": "510-703-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N LAMB BLVD",
            "address_2": "UNIT F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891100510",
            "telephone_number": "510-703-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR A SUCCESSFUL TOMORROW (F.A.S.T) BEHAVIOR TREATMENT AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "FITZROY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-703-3311"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20131207488",
            "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 Apr 10, 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.