Modern Kings LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MODERN KINGS LLC

Practice address

2605 Congress Ave
Las Vegas, NV 89121-1315

Phone

(702) 327-6869

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Jamaal Mosi Rouzan

Title

Owner

Phone

(702) 327-6869

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1548099393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 LAKE SCENE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486717",
            "telephone_number": "702-327-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 CONGRESS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891211315",
            "telephone_number": "702-327-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN KINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "ROUZAN",
        "authorized_official_first_name": "JAMAAL",
        "authorized_official_middle_name": "MOSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-327-6869"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Substance Abuse Rehabilitation Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.