Active NPI
Family Health Wellness Center LLC
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1609378017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FAMILY HEALTH WELLNESS CENTER LLC
- Practice address
- 2350 S Jones Blvd Ste 120
Las Vegas, NV 89146-3124 - Phone
- (808) 202-8823
- NPI assigned
- Mar 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aulama Thomas Jiannino
- Title
- Executive Director
- Phone
- (808) 202-8823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NV | Primary |
Addresses
Primary practice location
2350 S Jones Blvd Ste 120
Las Vegas, NV 89146-3124
Mailing address
2350 S Jones Blvd Ste 120
Las Vegas, NV 89146-3124
Phone (702) 214-2193
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519862400000",
"number": "1609378017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 S JONES BLVD STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463124",
"telephone_number": "702-214-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 S JONES BLVD STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463124",
"telephone_number": "808-202-8823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-01",
"last_updated": "2018-03-01",
"status": "A",
"authorized_official_last_name": "JIANNINO",
"authorized_official_first_name": "AULAMA",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "808-202-8823"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"license": null,
"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 Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.