NPIMap

Organization Active NPI

Brooks Family Clinic

  • Children's Substance Abuse Rehabilitation Facility
  • North Las Vegas, NV
National Provider Identifier
1417469826
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
BROOKS FAMILY CLINIC
Doing business as
Brooks Addiction and Counseling Medical Center
Practice address
3550 W Cheyenne Ave
Suite 100
North Las Vegas, NV 89032-8212
Phone
(702) 570-5200
Fax
(702) 570-5201
NPI assigned
Oct 26, 2017
Organization subpart
Yes
Parent organization
BROOKS FAMILY CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Mr. Devin Brooks
Title
Owner/Ceo
Phone
(702) 910-5773

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

3550 W Cheyenne Ave
Suite 100
North Las Vegas, NV 89032-8212

Mailing address

3670 N Rancho Drive
Suite 106
Las Vegas, NV 89130-3174
Phone (702) 570-5200

Other names 1

  • Brooks Addiction and Counseling Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brooks Family Clinic LLC5 organizations share this tax ID, including this one
Part of
Brooks Family Clinic LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1417469826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 N RANCHO DRIVE",
            "address_2": "SUITE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303174",
            "telephone_number": "702-570-5200",
            "fax_number": "702-473-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 W CHEYENNE AVE",
            "address_2": "SUITE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328212",
            "telephone_number": "702-570-5200",
            "fax_number": "702-570-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS FAMILY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKS FAMILY CLINIC",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "702-910-5773",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooks Addiction and Counseling Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.