NPIMap

Organization Active NPI

North Las Vegas Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • North Las Vegas, NV
National Provider Identifier
1538650577
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NORTH LAS VEGAS BEHAVIORAL HEALTH
Practice address
3131 W Craig Rd Ste 180
North Las Vegas, NV 89032-0861
Phone
(702) 586-5999
NPI assigned
May 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Kirk A Wan
Title
Owner
Phone
(702) 586-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3131 W Craig Rd Ste 180
North Las Vegas, NV 89032-0861

Mailing address

3131 W Craig Rd Ste 180
North Las Vegas, NV 89032-0861
Phone (702) 586-5999

Other identifiers 1

IdentifierTypeStateIssuer
1578935508MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
North Las Vegas Behavioral Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1538650577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 W CRAIG RD STE 180",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320861",
            "telephone_number": "702-586-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 W CRAIG RD STE 180",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320861",
            "telephone_number": "702-586-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAS VEGAS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-586-5999"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578935508",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 25, 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.