NPIMap

Organization Active NPI

Family Healthcare Dual Diagnosis

  • Community Health Worker
  • North Las Vegas, NV
National Provider Identifier
1629678354
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
FAMILY HEALTHCARE DUAL DIAGNOSIS
Practice address
6656 Majestic Pearl PL
North Las Vegas, NV 89084-1219
Phone
(725) 220-7903
NPI assigned
Oct 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Mrs. Laquita Michelle BrooksNPI 1437730793
Title
Chief Executive Officer
Phone
(702) 221-1991

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 Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

6656 Majestic Pearl PL
North Las Vegas, NV 89084-1219

Mailing address

500 N Rainbow Blvd Ste 300
Las Vegas, NV 89107-1061
Phone (702) 221-1991

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://www.familyhealthcaredualdiagnosis.org/
CONNECT URL https://www.familyhealthcaredualdiagnosis.org/

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": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1629678354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071061",
            "telephone_number": "702-221-1991",
            "fax_number": "702-221-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6656 MAJESTIC PEARL PL",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841219",
            "telephone_number": "725-220-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE DUAL DIAGNOSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LAQUITA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "702-221-1991",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.familyhealthcaredualdiagnosis.org/",
            "affiliation": "N",
            "address_1": "6656 Majestic Pearl Pl",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890841219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.familyhealthcaredualdiagnosis.org/",
            "affiliation": "N",
            "address_1": "6656 Majestic Pearl Pl",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890841219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

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