Active NPI
Tancell Care LLC
- Developmental Disabilities Clinic/Center
- Las Vegas, NV
National Provider Identifier
1669032546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- TANCELL CARE LLC
- Practice address
- 4000 S Eastern Ave Ste 150
Las Vegas, NV 89119-0840 - Phone
- (702) 476-0262
- Fax
- (702) 441-0466
- NPI assigned
- Jun 13, 2019
- Last updated
- Feb 7, 2023
- 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
- Louie Novelo Cellona
- Title
- Ceo
- Phone
- (702) 476-0262
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | NU | Primary | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | NU |
Addresses
Primary practice location
4000 S Eastern Ave Ste 150
Las Vegas, NV 89119-0840
Mailing address
1500 E Tropicana Ave Ste 248
Las Vegas, NV 89119-8325
Phone (702) 882-4975
National Provider Directory
National Provider Directory- Tax ID family
- Tancell Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Las Vegas, NV
- NPI 1720575251
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1942765201
Locations
1500 E Tropicana Ave
Ste 248
Las Vegas, NV 89119
4000 S Eastern Ave
Ste 150
Las Vegas, NV 89119
Phone (702) 476-0262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675728000000",
"number": "1669032546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E TROPICANA AVE STE 248",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891198325",
"telephone_number": "702-882-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 S EASTERN AVE STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891190840",
"telephone_number": "702-476-0262",
"fax_number": "702-441-0466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANCELL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-13",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "CELLONA",
"authorized_official_first_name": "LOUIE",
"authorized_official_middle_name": "NOVELO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-476-0262"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"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 Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.