Active NPI
Second Wind Behavioral Health Services Inc
- Community/Behavioral Health Agency
- Henderson, NV
National Provider Identifier
1437833894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.