Elevative Family Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELEVATIVE FAMILY SERVICES LLC

Doing business as

Elevative Family Services

Practice address

6440 Starling Mesa St
North Las Vegas, NV 89086-1324

Phone

(702) 609-4314

NPI assigned

Sep 21, 2021

Last updated

Sep 21, 2021By 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

Mr. Anthony Zaire Egnor

Title

Owner/Co-Ceo

Phone

(702) 609-4314

Specialties & licenses 1

Addresses

Other names 1

• Elevative Family Services Doing business as

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1396416376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 STARLING MESA ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890861324",
            "telephone_number": "702-609-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 STARLING MESA ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890861324",
            "telephone_number": "702-609-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATIVE FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "EGNOR",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ZAIRE",
        "authorized_official_title_or_position": "OWNER/CO-CEO",
        "authorized_official_telephone_number": "702-609-4314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevative Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.