NPIMap

Organization Active NPI

Premise Health of Nevada Medical Hinitt PC

Doing business as Premise Health Wellness Center-Las Vegas

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1649977067
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PREMISE HEALTH OF NEVADA MEDICAL HINITT PC
Doing business as
Premise Health Wellness Center-Las Vegas
Practice address
653 N Town Center Dr Ste 112
Las Vegas, NV 89144-0515
Phone
(702) 562-7105
Fax
(702) 925-9694
NPI assigned
Feb 15, 2023
Last updated
Feb 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Steven Ashley Hinitt
Title
Authorized Official
Phone
(210) 563-5077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

653 N Town Center Dr Ste 112
Las Vegas, NV 89144-0515

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Other names 1

  • Premise Health Wellness Center-Las Vegas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000406 NV Part B Supplier - Clinic/Group Practice 7214822030 Receives reassigned benefits from 37 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV; Reno, NV; Stateline, NV; Winnemucca, NV; Elko, NV

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2277495Premise Health Wellness Center653 Town Center Drive, Building II Suite 112, Las Vegas, NV 89144Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

247 Bluffs Ave
Bldg 1
Elko, NV 89801
Phone (775) 753-1049

111 E Harmon Ave
Las Vegas, NV 89109
Phone (702) 891-8606

653 N Town Center Dr
Ste 112
Las Vegas, NV 89144
Phone (702) 530-7915

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1649977067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440515",
            "telephone_number": "702-562-7105",
            "fax_number": "702-925-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF NEVADA MEDICAL HINITT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "HINITT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "210-563-5077"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premise Health Wellness Center-Las Vegas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.