NPIMap

Organization Active NPI

Eternity Behavioral Services LLC

  • Community/Behavioral Health Agency
  • N Las Vegas, NV
National Provider Identifier
1619564465
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ETERNITY BEHAVIORAL SERVICES LLC
Practice address
5345 Greenhaven CT
N Las Vegas, NV 89031-0486
Phone
(702) 826-8889
NPI assigned
Dec 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Claudia Avila-Navarro
Title
Owner
Phone
(702) 826-8889

Specialties & licenses 1

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

Addresses

Primary practice location

5345 Greenhaven CT
N Las Vegas, NV 89031-0486

Mailing address

5345 Greenhaven CT
N Las Vegas, NV 89031-0486
Phone (702) 826-8889

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1619564465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 GREENHAVEN CT",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890310486",
            "telephone_number": "702-826-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 GREENHAVEN CT",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890310486",
            "telephone_number": "702-826-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITY BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "AVILA-NAVARRO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-826-8889"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.