NPIMap

Organization Active NPI

Mingo Health Solutions

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1447612718
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20161175420 Issued in NV
Legal business name
MINGO HEALTH SOLUTIONS
Practice address
4000 S Eastern Ave Ste 240
Las Vegas, NV 89119-0847
Phone
(170) 255-6263
NPI assigned
Mar 24, 2016
Last updated
Sep 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Dinisha Gray-MingoNPI 1366726333
Title
Ceo/Director
Phone
(702) 556-2634

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
Community/Behavioral Health Agency 251S00000X NV20161175420 NV Primary

Addresses

Primary practice location

4000 S Eastern Ave Ste 240
Las Vegas, NV 89119-0847

Mailing address

4000 S Eastern Ave Ste 240
Las Vegas, NV 89119-0847
Phone (170) 255-6263

Other practice location 1

4525 S Sandhill Rd
Suite 106
Las Vegas, NV 89121-5954
Phone (702) 556-2634

Other practice location 2

2715 E Russell Rd
Las Vegas, NV 89120-2426
Phone (702) 848-1696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190502002758 NV Part B Supplier - Clinic/Group Practice 3072855576 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4000 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 848-1696

4525 S Sandhill Rd
Ste 106
Las Vegas, NV 89121
Phone (702) 488-2433

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1447612718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S EASTERN AVE STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190847",
            "telephone_number": "170-255-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S EASTERN AVE STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190847",
            "telephone_number": "170-255-6263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4525 S Sandhill Rd",
            "address_2": "SUITE 106",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891215954",
            "country_code": "US",
            "telephone_number": "702-556-2634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2715 E Russell Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891202426",
            "country_code": "US",
            "telephone_number": "702-848-1696",
            "fax_number": "702-463-7283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINGO HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "GRAY-MINGO",
        "authorized_official_first_name": "DINISHA",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "702-556-2634"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20161175420",
            "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 Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.