NPIMap

Organization Active NPI

St Benedict

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1598045064
Registry record updated Aug 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1000234-706 Issued in NV
Legal business name
ST BENEDICT
Practice address
3625 Rosewood Dr
Las Vegas, NV 89121-3261
Phone
(702) 454-0532
Fax
(702) 454-0532
NPI assigned
Aug 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2011

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

Authorized official

Name
Roselyn R JavierNPI 1871873497
Title
Owner
Phone
(702) 454-1203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1000234-706 NV Primary

Addresses

Primary practice location

3625 Rosewood Dr
Las Vegas, NV 89121-3261

Mailing address

145 Broken Tee Dr
Henderson, NV 89074-8324
Phone (702) 454-1203

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314403200000",
    "number": "1598045064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BROKEN TEE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748324",
            "telephone_number": "702-454-1203",
            "fax_number": "702-454-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 ROSEWOOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213261",
            "telephone_number": "702-454-0532",
            "fax_number": "702-454-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BENEDICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-27",
        "last_updated": "2011-08-27",
        "status": "A",
        "authorized_official_last_name": "JAVIER",
        "authorized_official_first_name": "ROSELYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-454-1203"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "1000234-706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 27, 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.