Renu

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RENU

Practice address

2500 Perliter Ave
North Las Vegas, NV 89030-7309

Phone

(702) 542-5873

NPI assigned

Jul 23, 2011

Last updated

Jul 23, 2011By 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

Ms. Jequetta L Bellard

Title

Owner

Phone

(702) 542-5873

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311379200000",
    "number": "1639457799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 PERLITER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307309",
            "telephone_number": "702-542-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PERLITER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307309",
            "telephone_number": "702-542-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-23",
        "last_updated": "2011-07-23",
        "status": "A",
        "authorized_official_last_name": "BELLARD",
        "authorized_official_first_name": "JEQUETTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-542-5873",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North 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 23, 2011; 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.