NPIMap

Organization Active NPI

Angel Heart Behavior Health LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1437601440
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20161605181 Issued in NV
Legal business name
ANGEL HEART BEHAVIOR HEALTH LLC
Practice address
2551 S Fort Apache Rd Ste 101
Las Vegas, NV 89117-8700
Phone
(702) 846-2686
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Ms. Latasha Conway-Hankston
Title
Chief Executive Officer
Phone
(702) 846-2686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Community/Behavioral Health Agency 251S00000X NV20161605181 NV Primary

Addresses

Primary practice location

2551 S Fort Apache Rd Ste 101
Las Vegas, NV 89117-8700

Mailing address

2551 S Fort Apache Rd Ste 101
Las Vegas, NV 89117-8700
Phone (702) 846-2686

National Provider Directory

National Provider Directory
Tax ID family
Angel Heart Behavior Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2551 S Fort Apache Rd
Ste 101
Las Vegas, NV 89117
Phone (702) 846-2686

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1437601440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 S FORT APACHE RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178700",
            "telephone_number": "702-846-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 S FORT APACHE RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178700",
            "telephone_number": "702-846-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HEART BEHAVIOR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "CONWAY-HANKSTON",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "702-846-2686",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20161605181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 12, 2018; 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.