Preserve Life Sober Living-Davis Home

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

PRESERVE LIFE SOBER LIVING-DAVIS HOME

Practice address

516 Founders Creek Ave
North Las Vegas, NV 89084-1404

Phone

(702) 483-7648

NPI assigned

Jun 30, 2026

Organization subpart

Yes

Parent organization

PRESERVE LIFE LLCAs reported in NPPES

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

Authorized official

Name

Mr. Eric Johnson Sr.

Title

Manager

Phone

(702) 300-7304

Specialties & licenses 1

Addresses

Other names 1

• Preserve life sober living-Davis home Doing business as

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1437076528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 S VALLEY VIEW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183130",
            "telephone_number": "702-483-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 FOUNDERS CREEK AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841404",
            "telephone_number": "702-483-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESERVE LIFE SOBER LIVING-DAVIS HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESERVE LIFE LLC",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-300-7304",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preserve life sober living-Davis home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.