Benefit Community Health LLC

Key facts

NPI

1548854656

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Legal business name

BENEFIT COMMUNITY HEALTH LLC

Practice address

2290 S Jones Blvd Ste 110
Las Vegas, NV 89146-3170

Phone

(702) 526-4573

Fax

(702) 202-1180

NPI assigned

Mar 1, 2021

Organization subpart

No

Authorized official

Name

Adam J Carroll

Title

Owner

Phone

(702) 526-4573

National Provider Directory

Specialties & licenses

Addresses

Other names

• Benefit Community Health LLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 1, 2021.

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1548854656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 S JONES BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463170",
            "telephone_number": "702-526-4573",
            "fax_number": "702-202-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 S JONES BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463170",
            "telephone_number": "702-526-4573",
            "fax_number": "702-202-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEFIT COMMUNITY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-526-4573"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benefit Community Health LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Jessica L Benesh, M.S., CCC-SLP
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All providers in Las Vegas, NV · Community/Behavioral Health Agency in Nevada