Rekindled Hope LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20121198867 Issued in NV

Legal business name

REKINDLED HOPE LLC

Practice address

8107 Cimarron Meadows Way
Las Vegas, NV 89147-5055

Phone

(702) 429-2654

Fax

(702) 221-4275

NPI assigned

May 18, 2012

Last updated

Jul 13, 2012By 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. Mark James BroxtermanNPI 1841583986

Title

Owner

Phone

(702) 429-2654

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark James Broxterman

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1841583986
  NPD (past) Authorized official

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1609136035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 CIMARRON MEADOWS WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475055",
            "telephone_number": "702-429-2654",
            "fax_number": "702-221-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8107 CIMARRON MEADOWS WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475055",
            "telephone_number": "702-429-2654",
            "fax_number": "702-221-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REKINDLED HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "BROXTERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-429-2654",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20121198867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Reitano, M.D.
• Elizabeth A Reiter, D D S LTD
• Lisa Lynn Reiter, APN
• Roni Reitz
• Rejuvenation Therapy LLC
• Alexa Kristel Relampagos
• Relationship Matters Inc (Browning Neurobehavioral Associates)
• Relationship Matters Inc (Browning Neurobehavioral Associates)
• Relatyv Mobile Medical LLC
• Africa Nichol Releford

• 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 Jul 13, 2012; 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.