Cactus Care Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20131287617 Issued in NV

Legal business name

CACTUS CARE CENTER LLC

Practice address

50 N Gibson Rd Ste 170
Henderson, NV 89014-6795

Phone

(702) 527-9775

NPI assigned

May 16, 2013

Last updated

May 16, 2013By 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

Heather Ann Liles, RNNPI 1972877793

Title

Executive Director

Phone

(702) 527-9775

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Ann Liles

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1972877793
  Authorized official Same address or phone

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1407292428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N GIBSON RD STE 170",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146795",
            "telephone_number": "702-527-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N GIBSON RD STE 170",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146795",
            "telephone_number": "702-527-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-527-9775",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20131287617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsie Quiling Cabudol, RBT
• Luzelle Capalla Cabuntala, APRN
• Speedy Cacanindin, RN
• Olivia Caceres, MA, CCC-SLP
• Jaryn B Cachola
• Max Steven Cadden, DMD
• Wilva Anne Cadianza, NP-C
• Suzanne Caduto
• Caf Group LLC (Falkner Professional Home Care)
• Siobhan Caffrey, RN, CLC

• Community/Behavioral Health Agency in Henderson, NV
• Providers in Henderson, 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 May 16, 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.