Organization Active NPI

Renewed Minds BHS

  • Community/Behavioral Health Agency
  • N Las Vegas, NV
National Provider Identifier
1518434430
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RENEWED MINDS BHS
Practice address
6941 Puetollano Dr
N Las Vegas, NV 89084-2339
Phone
(310) 921-0579
NPI assigned
Oct 29, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Rhonda Denise KellyNPI 1275022808
Title
Owner
Phone
(310) 921-0579

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 NU Primary

Addresses

Primary practice location

6941 Puetollano Dr
N Las Vegas, NV 89084-2339

Mailing address

6941 Puetollano Dr
N Las Vegas, NV 89084-2339
Phone (310) 921-0579

Other names 1

  • Renewed Minds BHS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1518434430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 PUETOLLANO DR",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890842339",
            "telephone_number": "310-921-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6941 PUETOLLANO DR",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890842339",
            "telephone_number": "310-921-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MINDS BHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-921-0579"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewed Minds BHS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in N 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 29, 2018; 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.