Active NPI
Berry Kare Community Services, LLC
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1649505629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BERRY KARE COMMUNITY SERVICES, LLC
- Practice address
- 7209 Crooked Bow Cir
Las Vegas, NV 89149-6458 - Phone
- (702) 277-9424
- NPI assigned
- Oct 8, 2009
- 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
- Ms. Tamitha Dodson, BSBM
- Title
- Managing Member
- Phone
- (702) 277-9424
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
7209 Crooked Bow Cir
Las Vegas, NV 89149-6458
Mailing address
PO Box 34768
Las Vegas, NV 89133-4768
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254960000000",
"number": "1649505629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34768",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891334768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7209 CROOKED BOW CIR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891496458",
"telephone_number": "702-277-9424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERRY KARE COMMUNITY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-08",
"last_updated": "2009-10-08",
"status": "A",
"authorized_official_last_name": "DODSON",
"authorized_official_first_name": "TAMITHA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "702-277-9424",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BSBM"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"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 Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.