NPIMap

Organization Active NPI

Southern Nevada House of Hope Ministries Inc.

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1437401296
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
C20120920-0754 Issued in NV
Legal business name
SOUTHERN NEVADA HOUSE OF HOPE MINISTRIES INC.
Practice address
5221 Red Glory Dr
Las Vegas, NV 89130-5389
Phone
(702) 399-1944
Fax
(702) 399-1944
NPI assigned
Oct 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Mr. Tracy Lorenzo EvansNPI 1396087276
Title
Business Director
Phone
(702) 399-1944

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
Rehabilitation PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225400000X C20120920-0754 NV Primary

Addresses

Primary practice location

5221 Red Glory Dr
Las Vegas, NV 89130-5389

Mailing address

5221 Red Glory Dr
Las Vegas, NV 89130-5389
Phone (702) 399-1944

Other identifiers 1

IdentifierTypeStateIssuer
C20120920-0754OtherNVCORPORATE CHARTER

Other names 1

  • Southern Nevada House Of Hope Transitional Group Home services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1437401296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 RED GLORY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305389",
            "telephone_number": "702-399-1944",
            "fax_number": "702-399-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 RED GLORY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305389",
            "telephone_number": "702-399-1944",
            "fax_number": "702-399-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA HOUSE OF HOPE MINISTRIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "702-399-1944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "NV",
            "license": "C20120920-0754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE CHARTER",
            "identifier": "C20120920-0754",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Nevada House Of Hope Transitional Group Home services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 3, 2012; 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.