NPIMap

Organization Active NPI

Gateway LV LLC

  • Mental Illness Community Based Residential Treatment Facility
  • North Las Vegas, NV
National Provider Identifier
1508296104
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
7756AGC-0 Issued in NV
Legal business name
GATEWAY LV LLC
Practice address
37 W Owens Ave
North Las Vegas, NV 89030-6865
Phone
(702) 279-1298
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Jeffrey B Iverson
Title
Ceo
Phone
(702) 279-1298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 7756AGC-0 NV Primary

Addresses

Primary practice location

37 W Owens Ave
North Las Vegas, NV 89030-6865

Mailing address

37 W Owens Ave
North Las Vegas, NV 89030-6865
Phone (702) 279-1298

Other names 1

  • Adams House Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1508296104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W OWENS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306865",
            "telephone_number": "702-279-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W OWENS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306865",
            "telephone_number": "702-279-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY LV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-279-1298"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": "7756AGC-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.