Heart of Gwendolyn

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HEART OF GWENDOLYN

Practice address

1881 W Alexander Rd Unit 2088
North Las Vegas, NV 89032-9049

Phone

(702) 428-4294

NPI assigned

Feb 8, 2019

Organization subpart

No

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

Authorized official

Name

Keylaunie Seals

Title

Owner

Phone

(702) 428-4294

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1578028916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 W ALEXANDER RD UNIT 2088",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890329049",
            "telephone_number": "702-428-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 W ALEXANDER RD UNIT 2088",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890329049",
            "telephone_number": "702-428-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GWENDOLYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "SEALS",
        "authorized_official_first_name": "KEYLAUNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-428-4294"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.