NPIMap

Organization Active NPI

Everside Health, LLC

Doing business as Activate Healthcare - CCFF Local 1908

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1467948950
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EVERSIDE HEALTH, LLC
Doing business as
Activate Healthcare - CCFF Local 1908
Practice address
2004 S Jones Blvd
Las Vegas, NV 89146-3151
Phone
(702) 463-3631
Fax
(702) 331-7343
NPI assigned
Jul 8, 2018
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Karla Spivey
Title
Central Support Specialist
Phone
(317) 869-3164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2004 S Jones Blvd
Las Vegas, NV 89146-3151

Mailing address

PO Box 1433
Portsmouth, NH 03802-1433

Other names 1

  • Activate Healthcare - CCFF Local 1908 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2151921Activate Healthcare-CCFF Local 1908 Clinic2004 S Jones Blvd, Las Vegas, NV 89146Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Everside-Ca Ironworkers-Modesta200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2004 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 463-3631

NPI Registry JSON

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1467948950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1433",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038021433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463151",
            "telephone_number": "702-463-3631",
            "fax_number": "702-331-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSIDE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-08",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "CENTRAL SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "317-869-3164"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Activate Healthcare - CCFF Local 1908",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Activate Healthcare - CCFF Local 1908",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.