Organization Active NPI

Humble Beginnings RTR

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1437901832
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HUMBLE BEGINNINGS RTR
Practice address
11016 Summer Quail Ave
Las Vegas, NV 89144-1456
Phone
(702) 504-3767
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Andrew Johnson
Title
Owner
Phone
(702) 504-3767

Specialties & licenses 1

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

Addresses

Primary practice location

11016 Summer Quail Ave
Las Vegas, NV 89144-1456

Mailing address

11016 Summer Quail Ave
Las Vegas, NV 89144-1456
Phone (702) 504-3767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1437901832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11016 SUMMER QUAIL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441456",
            "telephone_number": "702-504-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11016 SUMMER QUAIL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441456",
            "telephone_number": "702-504-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE BEGINNINGS RTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-504-3767"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Apr 1, 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.