NPIMap

Organization Active NPI

Angels Reunited

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1508409285
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANGELS REUNITED
Practice address
3838 Raymert Dr Ste 109
Las Vegas, NV 89121-3247
Phone
(702) 779-6188
NPI assigned
Oct 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Tashana Jones, MANPI 1306123245
Title
Director
Phone
(702) 677-4724

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3838 Raymert Dr Ste 109
Las Vegas, NV 89121-3247

Mailing address

2017 Turtle Beach Ave
North Las Vegas, NV 89081-5612
Phone (702) 677-4724

National Provider Directory

National Provider Directory

Locations

3838 Raymert Dr
Ste 109
Las Vegas, NV 89121
Phone (702) 779-6188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1508409285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 TURTLE BEACH AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890815612",
            "telephone_number": "702-677-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 RAYMERT DR STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213247",
            "telephone_number": "702-779-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS REUNITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TASHANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-677-4724",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Oct 24, 2019; 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.