Active NPI
Lions Crest LLC
- Community/Behavioral Health Agency
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIONS CREST LLC
- Practice address
- 5420 W Sahara Ave
Suite 102
Las Vegas, NV 89146-0394 - Phone
- (702) 772-8892
- NPI assigned
- Apr 18, 2012
- 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
- Mr. Wascar Cruz
- Title
- Owner
- Phone
- (702) 772-8892
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
5420 W Sahara Ave
Suite 102
Las Vegas, NV 89146-0394
Mailing address
5420 W Sahara Ave
Suite 102
Las Vegas, NV 89146-0394
Phone (702) 772-8892
National Provider Directory
National Provider Directory- Tax ID family
- Lions Crest LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Psychologist
- Las Vegas, NV
- NPI 1861834186
Locations
5420 W Sahara Ave
Ste 102
Las Vegas, NV 89146
Phone (702) 772-8892
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": "1334707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381881600000",
"number": "1649537333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 W SAHARA AVE",
"address_2": "SUITE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460394",
"telephone_number": "702-772-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 W SAHARA AVE",
"address_2": "SUITE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460394",
"telephone_number": "702-772-8892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIONS CREST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-18",
"last_updated": "2013-10-16",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "WASCAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-772-8892",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.