NPIMap

Organization Active NPI

Rockinghranch JDT LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1629668140
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROCKINGHRANCH JDT LLC
Practice address
14050 Kyle Canyon Rd
Las Vegas, NV 89166-1338
Phone
(702) 301-5705
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Bernadette BasilioNPI 1811583461
Title
Owner
Phone
(702) 321-1677

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 Primary

Addresses

Primary practice location

14050 Kyle Canyon Rd
Las Vegas, NV 89166-1338

Mailing address

14050 Kyle Canyon Rd
Las Vegas, NV 89166-1338
Phone (702) 301-5705

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1629668140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 KYLE CANYON RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891661338",
            "telephone_number": "702-301-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 KYLE CANYON RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891661338",
            "telephone_number": "702-301-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHRANCH JDT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "BASILIO",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-321-1677"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 Jan 19, 2021; 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.