Organization Active NPI

Second Wind Behavioral Health Services Inc

  • Community/Behavioral Health Agency
  • Henderson, NV
National Provider Identifier
1437833894
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SECOND WIND BEHAVIORAL HEALTH SERVICES INC
Practice address
31 Parco Fiore CT
Henderson, NV 89011-3189
Phone
(424) 535-1855
Fax
(424) 535-1855
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Gary Liggins
Title
President
Phone
(818) 454-2483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

31 Parco Fiore CT
Henderson, NV 89011-3189

Mailing address

16916 S Orchard Ave
Gardena, CA 90247-5617
Phone (818) 454-2483

Other practice location 1

8501 S Vermont Ave
Los Angeles, CA 90044-3425
Phone (424) 535-1855

National Provider Directory

National Provider Directory

Locations

4511 W Pico Blvd
Los Angeles, CA 90019

8501 S Vermont Ave
Los Angeles, CA 90044
Phone (424) 535-1855

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1437833894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16916 S ORCHARD AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902475617",
            "telephone_number": "818-454-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PARCO FIORE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890113189",
            "telephone_number": "424-535-1855",
            "fax_number": "424-535-1855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8501 S Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900443425",
            "country_code": "US",
            "telephone_number": "424-535-1855",
            "fax_number": "424-535-1855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SECOND WIND BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "LIGGINS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-454-2483"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.