A Life Well Lived

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

A LIFE WELL LIVED

Practice address

2441 Tech Center CT
Las Vegas, NV 89128-0804

Phone

(702) 767-5396

NPI assigned

Feb 17, 2016

Last updated

Feb 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lloyd Owen Cervantes

Title

Owner

Phone

(702) 767-5396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1558720656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 HAMDEM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 TECH CENTER CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280804",
            "telephone_number": "702-767-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LIFE WELL LIVED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-767-5396",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.