Organization Active NPI

Jessica Coreen Ayala

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1578867743
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JESSICA COREEN AYALA
Practice address
3441 Yorkminster St
Las Vegas, NV 89129-8906
Phone
(916) 402-7827
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Jessica Coreen Ayala
Title
Owner
Phone
(916) 402-7827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3441 Yorkminster St
Las Vegas, NV 89129-8906

Mailing address

3441 Yorkminster St
Las Vegas, NV 89129-8906
Phone (916) 402-7827

Other names 1

  • Halo Rehabilitation Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1578867743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 YORKMINSTER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298906",
            "telephone_number": "916-402-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 YORKMINSTER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298906",
            "telephone_number": "916-402-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA COREEN AYALA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "COREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-402-7827"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halo Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.